Residential Hospice Illinois LLC
A Medicare group practice based in Northbrook, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486800109), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486800109
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 3
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140225000674 | IL | Part A Provider - Hospice | 1831459304 |
| O20151230001832 | IL | Part B Supplier - Clinic/Group Practice | 1891164554 |
| O20220428002165 | IL | Part A Provider - Hospice | 1538815113 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Residential Hospice Illinois, LLC
dba Residential Hospice
- Community Based Hospice Care Agency
- Northbrook, IL
- NPI 1538815113
-
Residential Hospice Illinois, LLC
- Community Based Hospice Care Agency
- Lisle, IL
- NPI 1831459304
-
Residential Hospice Illinois, LLC
dba Residential Hospice, LLC
- Adult Health Nurse Practitioner
- Lisle, IL
- NPI 1891164554
Practice locations
- Lisle, IL2
- Northbrook, IL2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).
-
Melissa Baker, AGPCNP-BC
- Primary Care Nurse Practitioner
- Troy, MI
- NPI 1003369307
-
Eileen A Farmer, APRN, PMHNP-BC
- Nurse Practitioner
- Lisle, IL
- NPI 1700769338
-
Lindsay Michelle Franks, FNP
- Family Nurse Practitioner
- Lake Havasu City, AZ
- NPI 1831815893
-
Kirby L Klostermann, FNP
- Nurse Practitioner
- Glen Carbon, IL
- NPI 1285829572
-
Tiffany Marie Migon, APN
- Family Nurse Practitioner
- Burr Ridge, IL
- NPI 1609225358
-
Farah Siddique, NP-C
- Family Nurse Practitioner
- Schaumburg, IL
- NPI 1417639501
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.