SUNCREST HOSPICE ILLINOIS LLC NPI 1003340050

NPI Information

NPI: 1003340050
Provider Name: SUNCREST HOSPICE ILLINOIS LLC

Doing Business As: SUNCREST HOSPICE

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

Address:
5 REVERE DR STE 130
NORTHBROOK, IL
ZIP 60062
Phone: (847) 983-0017
Get Directions

SUNCREST HOSPICE ILLINOIS LLC is a hospice care community based in Northbrook, IL. SUNCREST HOSPICE ILLINOIS LLC NPI is 1003340050. The provider is registered as an organization entity type.
The provider Is Doing Business As Suncrest Hospice.

The provider's business location address is:

5 REVERE DR STE 130
NORTHBROOK, IL
ZIP 60062-004
Phone: (847) 983-0017

The provider's authorized official is Tyler Godfrey .
The authorized official title is Cfo and has the following contact phone number (801) 849-0486.

The CLIA number assigned to this NPI record is 14D2133761 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2017 and was last updated on 4/18/2022.

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »