# PRESTIGE HOME CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831728104
- **Authorized official:** SHEREE MILLER (OWNER)
- **Authorized official phone:** (516) 656-3477

## Contact information

- **Practice address:** 21 WALT WHITMAN RD UNIT 1, HUNTINGTON STATION, NY 11746-3686
- **Practice address phone:** (516) 656-3477
- **Mailing address:** 21 WALT WHITMAN RD UNIT 1, HUNTINGTON STATION, NY 11746-3686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2020
- **Last updated:** 04/07/2020
