Organization
AK & PRESTIGE LLC
Active
Other names
Prestige Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
KIERRA REYNOLDS (ADMINISTRATOR)
(832) 326-5586
Entity
Organization
Contact information
Practice address
17907 KUYKENDAHL RD STE 300, SPRING, TX 77379-8152
(832) 326-5586
Mailing address
17907 KUYKENDAHL RD STE 300, SPRING, TX 77379-8152
(832) 326-5586
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/11/2024
Last updated
05/28/2024
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