Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 UNO CIR STE EAST
JOLIET IL
60435-8159
US

IV. Provider business mailing address

50 UNO CIR STE EAST
JOLIET IL
60435-8159
US

V. Phone/Fax

Practice location:
  • Phone: 815-741-7371
  • Fax:
Mailing address:
  • Phone: 815-741-7371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SEAN TURNER
Title or Position: VICE PRESIDENT, REVENUE CYCLE
Credential:
Phone: 810-360-3133