Prestige Healthcare Services of Illinois

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE HEALTHCARE SERVICES OF ILLINOIS

Practice address

17900 Dixie Highway
Homewood, IL 60430

Phone

(708) 798-2350

Fax

(708) 798-2355

NPI assigned

Mar 6, 2009

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John I Nwagbara

Title

President

Phone

(708) 798-2350

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1255571089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HIGHWAY",
            "address_2": "SUITE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-798-2350",
            "fax_number": "708-798-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HIGHWAY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-798-2350",
            "fax_number": "708-798-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTHCARE SERVICES OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "NWAGBARA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-798-2350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan G Porche, PHD
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• Home Health Agency in Homewood, IL
• Providers in Homewood, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.