Active NPI
Prime Healthcare Home Care LLC
- Home Health Agency
- Bourbonnais, IL
National Provider Identifier
1366261117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRIME HEALTHCARE HOME CARE LLC
- Practice address
- 179 E Bethel Dr
Bourbonnais, IL 60914-1456 - Phone
- (815) 937-2475
- NPI assigned
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Doan
- Title
- Managing Associate General Counsel
- Phone
- (310) 259-4706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
179 E Bethel Dr
Bourbonnais, IL 60914-1456
Mailing address
179 E Bethel Dr
Bourbonnais, IL 60914-1456
Phone (815) 937-2475
National Provider Directory
National Provider Directory- Tax ID family
- Prime Healthcare Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Joliet, IL
- NPI 1669291415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1366261117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 E BETHEL DR",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141456",
"telephone_number": "815-937-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 E BETHEL DR",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141456",
"telephone_number": "815-937-2475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTHCARE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "DOAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
"authorized_official_telephone_number": "310-259-4706"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bourbonnais, IL
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- Provena St Marys Hospital
- Pulmonary & Critical Care Associates of Kankakee LTD
- Pure Growth Counseling PLLC
- Haley Rose Radev
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.