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General NPI Number Information
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NPI Number | 1922278258
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Entity Type | Organization
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Legal Business Name | PRESTIGE HOME HEALTHCARE, INC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 9944 S. ROBERTS RD STE 101
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City | PALOS HILLS
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State | IL
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Zip | 60465
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Country | US
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Telephone | 708-233-9057
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Fax | 708-233-9058
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Provider Business Mailing Address
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Address Line | 9944 S. ROBERTS RD STE 101
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City | PALOS HILLS
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State | IL
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Zip | 60465
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Country | US
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Telephone | 708-233-9057
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Fax | 708-233-9058
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GEOFFREY UJU
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Credential |
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Telephone | 708-233-9057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010829
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License Number State | IL
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