HAVEN HOSPICE IL LLC NPI 1790247906

NPI Information

NPI: 1790247906
Provider Name: HAVEN HOSPICE IL LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 14D2167509

Address:
1318 N MICHIGAN AVE
MARSHALL, IL
ZIP 62441
Phone: (475) 151-5058
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HAVEN HOSPICE IL LLC is a hospice care community based in Marshall, IL. HAVEN HOSPICE IL LLC NPI is 1790247906. The provider is registered as an organization entity type.

The provider's business location address is:

1318 N MICHIGAN AVE
MARSHALL, IL
ZIP 62441-307
Phone: (475) 151-5058

The provider's authorized official is Patricia Benson .
The authorized official title is Ceo and has the following contact phone number (847) 515-1505.

The CLIA number assigned to this NPI record is 14D2167509 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2019 and was last updated on 3/28/2024.

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				Yes

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: 5/5/2024

NPI Synchronization or Removal

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