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PRESTIGE HOME HEALTH CARE LLC
NPI 1275783003
Home Health in Phoenix, AZ

Active since September 29, 2008CLIA 03D1100072 · Waiver
3120 N 19TH AVE, SUITE 170, PHOENIX, AZ 85015(602) 279-8471(602) 279-0296 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prestige Home Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE HOME HEALTH CARE LLC (NPI 1275783003) is a healthcare organization registered as a home health in Phoenix, Arizona and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Bolan B Ogunde, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1275783003
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePRESTIGE HOME HEALTH CARE LLC
Location Address3120 N 19TH AVE, SUITE 170Phoenix, AZ 85015-6052
Mailing AddressPo Box 18951Phoenix, AZ 85005-8951 · (602) 279-8471 · Fax (602) 279-0296
Phone(602) 279-8471
Fax(602) 279-0296
Organization SubpartNo
Authorized OfficialBolan B OgundeChief Financial Officer · (602) 739-7170
Enumeration DateSeptember 29, 2008
Last NPPES UpdateJune 24, 2010
✔ NPI 1275783003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3120 N 19TH AVE, Phoenix, AZ 85015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1100072

Prestige Home Care · Phoenix, AZ
Active · expires May 27, 2027
CLIA Number03D1100072
Laboratory TypeHome Health Agency
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorAbbey Ogunde
Laboratory Phone(602) 279-8471
Laboratory LocationPrestige Home Care3120 North 19th Avenue Suite 170, Phoenix, AZ 85015
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Prestige Home Health Care, LLC (CMS certification number 037274), from CMS Care Compare.

Prestige Home Health Care, LLC

Home health agency · Phoenix, AZ
OwnershipProprietary
CMS Certification Number037274
Medicare-Certified SinceJune 7, 2010
Phone(602) 279-8471
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER PEEBLES
Counselor
3120 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 788-1116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Home Health Care LLC's NPI number?

The NPI number for Prestige Home Health Care LLC is 1275783003. It was assigned to this organization in the NPPES registry on September 29, 2008.

Where is Prestige Home Health Care LLC located?

Prestige Home Health Care LLC is located at 3120 N 19th Ave Suite 170, Phoenix, AZ 85015. The listed phone number is (602) 279-8471.

What is Prestige Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Prestige Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1100072) is associated with this NPI, valid through May 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Prestige Home Health Care LLC a Medicare-certified home health agency?

Yes. Prestige Home Health Care, LLC is a Medicare-certified home health agency, certified since June 7, 2010.

What insurance does Prestige Home Health Care LLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Prestige Home Health Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prestige Home Health Care LLC was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.