ARDENT HOSPICE & PALLIATIVE CARE SOUTHERN ILLINOIS INC. NPI 1578332052

NPI Information

NPI: 1578332052
Provider Name: ARDENT HOSPICE & PALLIATIVE CARE SOUTHERN ILLINOIS, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 14D2290541

Address:
1669 WINDHAM WAY STE C
O FALLON, IL
ZIP 62269
Phone: (618) 607-8110
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ARDENT HOSPICE & PALLIATIVE CARE SOUTHERN ILLINOIS, INC. is a hospice care community based in O Fallon, IL. ARDENT HOSPICE & PALLIATIVE CARE SOUTHERN ILLINOIS, INC. NPI is 1578332052. The provider is registered as an organization entity type.

The provider's business location address is:

1669 WINDHAM WAY STE C
O FALLON, IL
ZIP 62269-072
Phone: (618) 607-8110
Fax: (618) 607-8027

The provider's authorized official is Martha Susan Compton .
The authorized official title is Ceo and has the following contact phone number (618) 607-8110.

The CLIA number assigned to this NPI record is 14D2290541 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2023 and was last updated on 12/27/2023.

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

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