GOOD HEART HOSPICE INC. NPI 1073696456

NPI Information

NPI: 1073696456
Provider Name: GOOD HEART HOSPICE, INC.

Doing Business As: HOPE PALLIATIVE AND HOSPICE CARE

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

Address:
1272 W NORTHWEST HWY
PALATINE, IL
ZIP 60067
Phone: (847) 803-0400
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GOOD HEART HOSPICE, INC. is a hospice care community based in Palatine, IL. GOOD HEART HOSPICE, INC. NPI is 1073696456. The provider is registered as an organization entity type.
The provider Is Doing Business As Hope Palliative And Hospice Care.

The provider's business location address is:

1272 W NORTHWEST HWY
PALATINE, IL
ZIP 60067-897
Phone: (847) 803-0400
Fax: (847) 803-0499

The provider's authorized official is Ranulfo S. Vizcarra .
The authorized official title is President/owner and has the following contact phone number (847) 502-9670.

The CLIA number assigned to this NPI record is 14D1053010 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2006 and was last updated on 4/2/2015.

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		1764085	ILLINOIS	No
2	251G00000X	Hospice Care, Community Based		2002996	ILLINOIS	Yes

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	141627	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
2	141627	MEDICARE OSCAR/CERTIFICATION

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

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