Organization
RESIDENTIAL HOSPICE ILLINOIS, LLC
Active
Organization
RESIDENTIAL HOSPICE ILLINOIS, LLC
Active
Parent organization
RESIDENTIAL HOSPICE ILLINOIS, LLC
Other names
Residential Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESIDENTIAL HOSPICE ILLINOIS, LLC
Authorized official
MS. PAMELA EULBERG RN (VP COMPLIANCE & QUALITY)
(630) 219-1664
Entity
Organization
Contact information
Practice address
5440 CORPORATE DR, SUITE 400, TROY, MI 48098-2646
(855) 902-5100
(866) 903-4000
Mailing address
5440 CORPORATE DR, SUITE 400, TROY, MI 48098-2646
(855) 902-5100
(866) 903-4000
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2003114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141577
MEDICARE PTAN
IL
Enumeration date
05/22/2014
Last updated
05/22/2014
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