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RESIDENTIAL HOSPICE ILLINOIS LLC NPI 1578975744


NPI Information

NPI: 1578975744
Provider Name: RESIDENTIAL HOSPICE ILLINOIS, LLC

Doing Business As: RESIDENTIAL HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
5440 CORPORATE DR
SUITE 400
TROY, MI
ZIP 48098
Phone: (855) 902-5100
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RESIDENTIAL HOSPICE ILLINOIS, LLC is a hospice care community based in Troy, MI. RESIDENTIAL HOSPICE ILLINOIS, LLC NPI is 1578975744. The provider is registered as an organization entity type.
The provider Is Doing Business As Residential Hospice.

The provider's business location address is:

5440 CORPORATE DR
SUITE 400
TROY, MI
ZIP 48098-646
Phone: (855) 902-5100
Fax: (866) 903-4000

The provider's authorized official is Pamela Eulberg .
The authorized official title is Vp Compliance & Quality and has the following contact phone number (630) 219-1664.

The enumeration date for this NPI number is 5/22/2014 and was last updated on 5/22/2014.


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
1251G00000XHospice Care, Community Based2003114ILLINOISYes

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
1141577OTHERILLINOISMEDICARE PTAN

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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