PRESTIGE CONCIERGE CARE LLC
NPI 1003620790
Health and Wellness Coach in Cambria Heights, NY

NPI Status: Active since February 04, 2025

Contact Information

11474 225TH ST
CAMBRIA HEIGHTS, NY
ZIP 11411
Phone: (516) 699-8703

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  • Organization
  • Health and Wellness Coach
  • CLIA Number: 33D2315807
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 03-26-2027

About PRESTIGE CONCIERGE CARE LLC

This page provides the complete NPI Profile along with additional information for Prestige Concierge Care Llc, a provider established in Cambria Heights, New York operating as a Health And Wellness Coach. The healthcare provider is registered in the NPI registry with number 1003620790 assigned on February 2025. The practitioner's primary taxonomy code is 171400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Christella Medozile (Administrator)

NPI
1003620790
Provider Name
PRESTIGE CONCIERGE CARE LLC
Entity Type
Organization
Location Address
11474 225TH ST CAMBRIA HEIGHTS, NY 11411
Location Phone
(516) 699-8703
Mailing Address
11474 225TH ST CAMBRIA HEIGHTS, NY 11411
Mailing Phone
(516) 699-8703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2025
Last Update Date
02-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health and Wellness Coach

Taxonomy Code
171400000X
Type
Other Service Providers
Taxonomy Description
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251K00000XAgencies

Public Health or Welfare

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTELLA MEDOZILE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(516) 699-8703

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2315807
Facility Type
Mobile Laboratory
Certificate Effective Date
December 19, 2024
Certificate Expiration Date
March 26, 2027
Laboratory Director
CHRISTELLA MEDOZILE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prestige Concierge Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003620790, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 2 + 2 + 0 + 7 + 1 + 8 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003620790.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
11474 225TH ST
CAMBRIA HEIGHTS, NY 11411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003620790, enumerated as an "organization" on February 04, 2025.

The provider is located at 11474 225TH ST CAMBRIA HEIGHTS, NY 11411 and the phone number is (516) 699-8703.

Health and Wellness Coach with taxonomy code 171400000X.