Organization Active NPI

Prestige in Home Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1972318798
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE IN HOME CARE LLC
Practice address
1905 Harney St Ste 712
Omaha, NE 68102-2314
Phone
(402) 378-5755
Fax
(888) 830-6569
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Joquana Shantay GoynesNPI 1144013913
Title
Director
Phone
(402) 406-4644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1905 Harney St Ste 712
Omaha, NE 68102-2314

Mailing address

1905 Harney St Ste 712
Omaha, NE 68102-2314
Phone (402) 406-4644

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1972318798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 HARNEY ST STE 712",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022314",
            "telephone_number": "402-406-4644",
            "fax_number": "888-830-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HARNEY ST STE 712",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022314",
            "telephone_number": "402-378-5755",
            "fax_number": "888-830-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "GOYNES",
        "authorized_official_first_name": "JOQUANA",
        "authorized_official_middle_name": "SHANTAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-406-4644"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.