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Provider Demographic Information - NURSING HOME CARE MANAGEMENT

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	NURSING HOME CARE MANAGEMENT
Address:	10890 BUSTLETON AVE PHILADELPHIA, PA 19116-3313
Phone:	(215) 677-3299
E-mail:	info@prestigehca.com
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header

No parent or regional addresses are listed for this provider.

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Bucks
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
CPS Community 1:1	$12.81 / 15 min.
CPS Community 2:1	$24.62 / 15 min.
CPS Community 2:3	$10.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.64 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Nursing - (1:1) RN-15 minutes	$19.07 / 15 min.

County : Chester
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Nursing - (1:1) RN-15 minutes	$19.07 / 15 min.

County : Delaware
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Nursing - (1:1) RN-15 minutes	$19.07 / 15 min.

County : Lackawanna/Susquehanna
\|Service Name / Level	\|Rate

Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.

County : Luzerne/Wyoming
\|Service Name / Level	\|Rate

Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.

County : Montgomery
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
CPS Community 1:1	$12.81 / 15 min.
CPS Community 2:1	$24.62 / 15 min.
CPS Community 2:3	$10.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.64 / 15 min.
Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Nursing - (1:1) RN-15 minutes	$19.07 / 15 min.

County : Philadelphia
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
CPS Community 1:1	$12.81 / 15 min.
CPS Community 2:1	$24.62 / 15 min.
CPS Community 2:3	$10.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.64 / 15 min.
Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Nursing - (1:1) RN-15 minutes	$19.07 / 15 min.
Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$7.95 / 15 min.
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.

County : Washington
\|Service Name / Level	\|Rate

Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.

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