Active NPI
Orion Hospice and Palliative Care Inc
- Community Based Hospice Care Agency
- Morton Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ORION HOSPICE AND PALLIATIVE CARE INC
- Practice address
- 5836 Lincoln Ave Ste 200
Morton Grove, IL 60053-3326 - Phone
- (847) 324-9346
- Fax
- (847) 655-6020
- NPI assigned
- May 17, 2021
- Last updated
- Jan 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdul Mohsi
- Title
- President
- Phone
- (847) 324-9346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
5836 Lincoln Ave Ste 200
Morton Grove, IL 60053-3326
Mailing address
5940 W Touhy Ave Ste 210
Niles, IL 60714-4900
Phone (847) 324-9346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210914003268 | IL | Part A Provider - Hospice | 0840696951 | Practice locations: Willowbrook, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1003480740. Details of each certification follow.
Hospice certification: CCN 141717
- Legal name
- ORION HOSPICE AND PALLIATIVE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 30, 2022
- Last certification
- Mar 30, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 632 Executive Dr
Willowbrook, IL 60527-5610
Care Compare: Hospice
Medicare Care Compare- Listed as
- Orion Hospice and Palliative Care Inc
- Ownership
- For-Profit
- Certified
- Mar 30, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
632 Executive Dr
Willowbrook, IL 60527
Phone (847) 324-9346
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Elevate Hospice LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2025 | 100% |
| Manish Desai | Contracted Managing Employee | Apr 1, 2025 | |
| Beatrice Terekhov | W-2 Managing Employee | Apr 1, 2025 | 100% |
| Ehtesham J Ghani | Contracted Managing Employee | Sep 27, 2022 | |
| Anjum Sultana | W-2 Managing Employee | Jan 5, 2021 | |
| Dov G Weill | Corporate Officer | Apr 1, 2025 | 100% |
| Corporate Director | Apr 1, 2025 | 100% |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Cicero, IL
- NPI 1881699080
Contracted Managing Employee
-
- Internal Medicine Physician
- Brookfield, IL
- NPI 1316988397
Contracted Managing Employee
-
- Community Based Hospice Care Agency
- Price, UT
- NPI 1942805056
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1003480740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 W TOUHY AVE STE 210",
"city": "NILES",
"state": "IL",
"postal_code": "607144900",
"telephone_number": "847-324-9346",
"fax_number": "847-655-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5836 LINCOLN AVE STE 200",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533326",
"telephone_number": "847-324-9346",
"fax_number": "847-655-6020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORION HOSPICE AND PALLIATIVE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-17",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "MOHSI",
"authorized_official_first_name": "ABDUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-324-9346"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.