HOSPICE OF GREATER CHICAGO LLC NPI 1124418041

NPI Information

NPI: 1124418041
Provider Name: HOSPICE OF GREATER CHICAGO, LLC

Doing Business As: SANCTUARY HOSPICE

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

CLIA Number: 14D2203665

Address:
1727 S INDIANA AVE
SUITE G2
CHICAGO, IL
ZIP 60616
Phone: (630) 226-1306
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HOSPICE OF GREATER CHICAGO, LLC is a hospice care community based in Chicago, IL. HOSPICE OF GREATER CHICAGO, LLC NPI is 1124418041. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanctuary Hospice.

The provider's business location address is:

1727 S INDIANA AVE
SUITE G2
CHICAGO, IL
ZIP 60616-345
Phone: (630) 226-1306
Fax: (630) 226-1384

The provider's authorized official is John Bradley Hunter .
The authorized official title is President & Ceo and has the following contact phone number (434) 977-9711.

The CLIA number assigned to this NPI record is 14D2203665 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 1/9/2020.

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		2003129	ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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