Prestige Vintage Care

NPI #1114746849 in Humble, Texas

Provider Information

NPI Number: 1114746849
Entity Type: Organization
Organization Name: Prestige Vintage Care
Primary Specialty: Registered Nurse
Enumeration Date: Oct 9, 2024
Last Updated: Sep 11, 2025

Practice Location

Address: 4111 GREAT FOREST CT
City: Humble
State: Texas
ZIP Code: 77346-2489
Phone: (713) 269-5345

Authorized Official

Name: SHOSHANNA LYNN OMOBOSOYE, RN
Title: OWNER/ADMINISTRATOR
Phone: (713) 491-0991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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