NPIMap

Organization Active NPI

Blue Skies Hospice of Illinois Inc

  • Community Based Hospice Care Agency
  • Lansing, IL
National Provider Identifier
1003917196
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1712951 Issued in IL
Legal business name
BLUE SKIES HOSPICE OF ILLINOIS INC
Practice address
17825 Wentworth Ave
Lansing, IL 60438-3913
Phone
(708) 889-1019
Fax
(708) 474-6492
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Guzman, R.N., M.S., C.N.S.,NPI 1790886257
Title
Director
Phone
(708) 889-1019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1712951 IL Primary

Addresses

Primary practice location

17825 Wentworth Ave
Lansing, IL 60438-3913

Mailing address

17825 Wentworth Ave
Lansing, IL 60438-3913
Phone (708) 889-1019

National Provider Directory

National Provider Directory

Locations

17825 Wentworth Ave
Lansing, IL 60438
Phone (708) 889-1019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003917196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 WENTWORTH AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383913",
            "telephone_number": "708-889-1019",
            "fax_number": "708-474-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 WENTWORTH AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383913",
            "telephone_number": "708-889-1019",
            "fax_number": "708-474-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES HOSPICE OF ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-889-1019",
        "authorized_official_credential": "R.N., M.S., C.N.S.,"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "1712951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.