Organization Active NPI

Prestigious Nurse Healthcare LLC

  • Health Service Clinic/Center
  • Joliet, IL
National Provider Identifier
1861274680
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRESTIGIOUS NURSE HEALTHCARE LLC
Practice address
2816 Clearview Dr
Joliet, IL 60436-9759
Phone
(317) 979-3601
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Tamra Packer
Title
Owner
Phone
(317) 979-3601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2816 Clearview Dr
Joliet, IL 60436-9759

Mailing address

992 Brook Forest Ave # 1112
Shorewood, IL 60404-8807

Other names 1

  • Prestigious Nurse Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

992 Brook Forest Ave
Shorewood, IL 60404

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1861274680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 BROOK FOREST AVE # 1112",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 CLEARVIEW DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604369759",
            "telephone_number": "317-979-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS NURSE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-979-3601"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestigious Nurse Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.