NPIMap

Organization Active NPI

Prestige Plus

  • Home Health Agency
  • Zion, IL
National Provider Identifier
1881030385
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTIGE PLUS
Practice address
2714 Hebron Ave
C
Zion, IL 60099-2487
Phone
(224) 717-0183
NPI assigned
May 12, 2013
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Mrs. Oluwakemi Iyabode Sulaimon, PCT
Title
Ceo
Phone
(224) 717-0183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

2714 Hebron Ave
C
Zion, IL 60099-2487

Mailing address

2714 Hebron Ave
C
Zion, IL 60099-2487
Phone (224) 717-0183

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1881030385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 HEBRON AVE",
            "address_2": "C",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992487",
            "telephone_number": "224-717-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 HEBRON AVE",
            "address_2": "C",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992487",
            "telephone_number": "224-717-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-12",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "SULAIMON",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "IYABODE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-717-0183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PCT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.