MOMENTS HOSPICE OF CHICAGO SOUTH LLC NPI 1831790906

NPI Information

NPI: 1831790906
Provider Name: MOMENTS HOSPICE OF CHICAGO SOUTH LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 14D2242621

Address:
545 PLAINFIELD RD STE G-1
WILLOWBROOK, IL
ZIP 60527
Phone: (877) 666-3687
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MOMENTS HOSPICE OF CHICAGO SOUTH LLC is a hospice care community based in Willowbrook, IL. MOMENTS HOSPICE OF CHICAGO SOUTH LLC NPI is 1831790906. The provider is registered as an organization entity type.

The provider's business location address is:

545 PLAINFIELD RD STE G-1
WILLOWBROOK, IL
ZIP 60527-600
Phone: (877) 666-3687

The provider's authorized official is Eliyahu Jaffa .
The authorized official title is President and has the following contact phone number (715) 800-0908.

The CLIA number assigned to this NPI record is 14D2242621 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2020 and was last updated on 9/21/2023.

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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