Active NPI
Prestige Home Healthcare, Inc
- Home Health Agency
- Palos Hills, IL
National Provider Identifier
1922278258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010829
- Legal business name
- PRESTIGE HOME HEALTHCARE, INC
- Practice address
- 9944 S. Roberts Rd
Ste 101
Palos Hills, IL 60465 - Phone
- (708) 233-9057
- Fax
- (708) 233-9058
- NPI assigned
- Mar 3, 2008
- 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
- Geoffrey Uju
- Title
- Administrator
- Phone
- (708) 233-9057
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010829 | IL | Primary |
| Home Health Agency | 251E00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
9944 S. Roberts Rd
Ste 101
Palos Hills, IL 60465
Mailing address
9944 S. Roberts Rd
Ste 101
Palos Hills, IL 60465
Phone (708) 233-9057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010829 | Medicaid | IL | |
| 3001555 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080811000185 | IL | Part A Provider - Home Health Agency | 3274607197 | Practice locations: Palos Hills, IL |
Home health agency certification: CCN 148045
- Legal name
- PRESTIGE HOME HEALTHCARE INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 29, 2009
- Last certification
- Jan 29, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 10, 2008 in IL
- Enrollment address
- 9944 S Roberts Rd
Ste 101
Palos Hills, IL 60465-1555
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Prestige Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Jan 29, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Prestige Home Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Palos Hills, IL
- NPI 1598530396
Locations
7840 W 103rd St
Ste 6
Palos Hills, IL 60465
Phone (708) 599-2234
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Prestige Home Healthcare Inc. | 5% Or Greater Direct Ownership Interest | Mar 10, 2008 | 50% |
| Geoffrey Uju | 5% Or Greater Direct Ownership Interest | Mar 10, 2008 | 50% |
| Corporate Director | Mar 10, 2008 | ||
| W-2 Managing Employee | Mar 10, 2008 | 50% | |
| Ada Uju | 5% Or Greater Direct Ownership Interest | Mar 10, 2008 | 50% |
| Corporate Director | Mar 10, 2008 | 50% | |
| W-2 Managing Employee | Mar 10, 2008 | 50% |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nursing Care Agency
- Palos Hills, IL
- NPI 1598530396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1922278258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9944 S. ROBERTS RD",
"address_2": "STE 101",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "60465",
"telephone_number": "708-233-9057",
"fax_number": "708-233-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9944 S. ROBERTS RD",
"address_2": "STE 101",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "60465",
"telephone_number": "708-233-9057",
"fax_number": "708-233-9058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE HOME HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2025-02-10",
"certification_date": "2022-12-05",
"status": "A",
"authorized_official_last_name": "UJU",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "708-233-9057"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010829",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010829",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001555",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.