JOLIET AREA COMMUNITY HOSPICE CORPORATION NPI 1043212103

NPI Information

NPI: 1043212103
Provider Name: JOLIET AREA COMMUNITY HOSPICE CORPORATION

Doing Business As: LIGHTWAYS HOSPICE AND SERIOUS ILLNESS CARE

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

Address:
250 WATER STONE CIR
JOLIET, IL
ZIP 60431
Phone: (815) 740-4104
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JOLIET AREA COMMUNITY HOSPICE CORPORATION is a hospice care community based in Joliet, IL. JOLIET AREA COMMUNITY HOSPICE CORPORATION NPI is 1043212103. The provider is registered as an organization entity type.
The provider Is Doing Business As Lightways Hospice And Serious Illness Care.

The provider's business location address is:

250 WATER STONE CIR
JOLIET, IL
ZIP 60431-313
Phone: (815) 740-4104
Fax: (815) 740-4107

The provider's authorized official is Mary Sheehan .
The authorized official title is Ceo and has the following contact phone number (815) 740-4104.

The CLIA number assigned to this NPI record is 14D0689381 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 7/9/2021.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based	0722000339	ILLINOIS	Yes
2	315D00000X	Hospice, Inpatient	0722000340	ILLINOIS	No
3	363L00000X	Nurse Practitioner			No
4	385H00000X	Respite Care			No

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	0004423721	OTHER	ILLINOIS	AETNA
2	9518	OTHER		BCBS OF IL
3	103501032395	OTHER	ILLINOIS	HUMANA

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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