HCA ACQUISITION HOLDINGS INC NPI 1659301539

NPI Information

NPI: 1659301539
Provider Name: HCA ACQUISITION HOLDINGS INC

Doing Business As: ST CROIX HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
185 BUCKLEY DR STE B
ROCKFORD, IL
ZIP 61107
Phone: (815) 316-2700
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HCA ACQUISITION HOLDINGS INC is a hospice care community based in Rockford, IL. HCA ACQUISITION HOLDINGS INC NPI is 1659301539. The provider is registered as an organization entity type.
The provider Is Doing Business As St Croix Hospice.

The provider's business location address is:

185 BUCKLEY DR STE B
ROCKFORD, IL
ZIP 61107-806
Phone: (815) 316-2700
Fax: (815) 316-2702

The provider's authorized official is Heath A Bartness .
The authorized official title is Ceo and has the following contact phone number (651) 735-3656.

The CLIA number assigned to this NPI record is 14D1028444 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		1712953	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201126616001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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