RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS LLC NPI 1720405301

NPI Information

NPI: 1720405301
Provider Name: RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC

Former Legal Business Name: CELTIC HOSPICE & PALLIATIVE CARE SERVICES OF S. IL, LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4215 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
Phone: (800) 358-8227
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RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC is a hospice care community based in Glen Carbon, IL. RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC NPI is 1720405301. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Celtic Hospice & Palliative Care Services Of S. Il, Llc.

The provider's business location address is:

4215 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034-267
Phone: (800) 358-8227
Fax: (888) 229-8388

The provider's authorized official is Justin Dewitte .
The authorized official title is President and has the following contact phone number (248) 283-8839.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 6/28/2019.

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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