Active NPI
Prime Healthcare Home Care and Hospice, LLC
Doing business as Prime Home Care - Kankakee
- Home Health Agency
- Kankakee, IL
National Provider Identifier
1841094513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRIME HEALTHCARE HOME CARE AND HOSPICE, LLC
- Doing business as
- Prime Home Care - Kankakee
Prime Home Health - Kankakee - Practice address
- 555 W Court St Ste 212
Kankakee, IL 60901-3674 - Phone
- (815) 937-2475
- NPI assigned
- Apr 2, 2025
- Last updated
- May 27, 2025
- 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
555 W Court St Ste 212
Kankakee, IL 60901-3674
Mailing address
555 W Court St Ste 212
Kankakee, IL 60901-3674
Other names 2
- Prime Home Care - Kankakee
- Prime Home Health - Kankakee
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1067285 | Prime Home Care - Kankakee | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Prime Healthcare Home Care and Hospice LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Mount Prospect, IL
- NPI 1215737861
-
- Home Health Agency
- Joliet, IL
- NPI 1609685361
-
- Home Health Agency
- Joliet, IL
- NPI 1740098276
Locations
555 W Court St
Ste 212
Kankakee, IL 60901
Phone (815) 937-2475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1841094513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W COURT ST STE 212",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W COURT ST STE 212",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013674",
"telephone_number": "815-937-2475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTHCARE HOME CARE AND HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-02",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"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": [
{
"organization_name": "Prime Home Care - Kankakee",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prime Home Health - Kankakee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kankakee, IL
- Presence Heritage Day Break
- Presence Home Care (Presence Home Care - Kankakee)
- Presence Life Connections (Ascension Living Heritage Village)
- Presence St. Mary Hospital (Heart Failure Clinic)
- Prime Healthcare Associates, Inc.
- Prime Healthcare Living - Heritage Village LLC
- Prime Healthcare Living - Resurrection Place LLC
- Prime Healthcare Senior Living, LLC (Heritage Village)
- McKenna Rose Printy, APRN, FNP-BC
- Provider Healthcare Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.