Organization
PRESTIGE HOMECARE & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEIKA JOHNSON (CEO)
(872) 312-1270
Entity
Organization
Contact information
Practice address
122 S MICHIGAN AVE STE 1390-N14, CHICAGO, IL 60603-6191
(872) 312-1270
(872) 312-1271
Mailing address
122 S MICHIGAN AVE STE 1390-N14, CHICAGO, IL 60603-6191
(872) 312-1270
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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