Organization Active NPI

Prestige Home Healthcare, Inc

  • Home Health Agency
  • Palos Hills, IL
National Provider Identifier
1922278258
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010829 Issued in IL
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

Updated by the provider on Feb 10, 2025

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010829 IL Primary
Home Health Agency 251E00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1010829MedicaidIL
3001555MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Mar 10, 2008 in IL
Enrollment address
9944 S Roberts Rd
Ste 101
Palos Hills, IL 60465-1555
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prestige Home Health Care, IncCCN 148045 · All quality measures
Ownership
Proprietary
Certified
Jan 29, 2009
Medicare certification status
ActiveFrom the Provider of Services file
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Prestige Home Healthcare Inc. Organization, Palos Hills, IL Corporation 5% Or Greater Direct Ownership Interest Mar 10, 2008 50%
Geoffrey Uju Individual 5% Or Greater Direct Ownership InterestConsultarive, Billing Mar 10, 2008 50%
Corporate DirectorBoard Member Mar 10, 2008
W-2 Managing EmployeeBoard Member Mar 10, 2008 50%
Ada Uju Individual 5% Or Greater Direct Ownership InterestConsultative Mar 10, 2008 50%
Corporate DirectorCeo Mar 10, 2008 50%
W-2 Managing EmployeeCeo 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.

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

Verify at the official NPI Registry.