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Contact Information

RESIDENTIAL HOSPICE ILLINOIS, LLC
5440 CORPORATE DR
SUITE 400
TROY, MI48098-2646
 Phone: 855-902-5100
 Fax: 866-903-4000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for RESIDENTIAL HOSPICE ILLINOIS, LLC

NPI Number 1578975744
LBN Legal business name RESIDENTIAL HOSPICE ILLINOIS, LLC
Authorized official PAMELA EULBERG - (VP COMPLIANCE & QUALITY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/22/2014
Last updated 05/22/2014 - About 12 years ago
Identifiers
IL License # 2003114
IL Other 141577 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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