ANGELS GRACE HOSPICE LLC NPI 1962782995

NPI Information

NPI: 1962782995
Provider Name: ANGELS GRACE HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 14D2030468

Address:
440 QUADRANGLE DRIVE
SUITE G
BOLINGBROOK, IL
ZIP 60440
Phone: (888) 444-8341
Get Directions

ANGELS GRACE HOSPICE, LLC is a hospice care community based in Bolingbrook, IL. ANGELS GRACE HOSPICE, LLC NPI is 1962782995. The provider is registered as an organization entity type.

The provider's business location address is:

440 QUADRANGLE DRIVE
SUITE G
BOLINGBROOK, IL
ZIP 60440
Phone: (888) 444-8341
Fax: (630) 633-6367

The provider's authorized official is Gregory James Zrazik .
The authorized official title is Cfo and has the following contact phone number (312) 259-4716.

The CLIA number assigned to this NPI record is 14D2030468 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2011 and was last updated on 8/20/2021.

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 »