MEDICARE: PRIME HEALTHCARE HOME CARE AND HOSPICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1740098276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME HEALTHCARE HOME CARE AND HOSPICE, LLC

Provider Business Mailing Address
First Line	:	50 UNO CIR STE EAST
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8159
Country	:	US
Telephone Number	:	815-741-7371
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 UNO CIR STE EAST
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8159
Country	:	US
Telephone Number	:	815-741-7371
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT, REVENUE CYCLE
Name	:	SEAN TURNER
Credential	:
Telephone Number	:	810-360-3133

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	04/07/2026

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