Organization Active NPI

Hospice of America, Inc.

  • Community Based Hospice Care Agency
  • Winfield, IL
National Provider Identifier
1013910124
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2001428 Issued in IL
Legal business name
HOSPICE OF AMERICA, INC.
Practice address
1N131 County Farm Rd
Winfield, IL 60190-2000
Phone
(630) 682-3871
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Mr. Matthew Lowe, CPA
Title
Cfo
Phone
(630) 682-3871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2001428 IL Primary

Addresses

Primary practice location

1N131 County Farm Rd
Winfield, IL 60190-2000

Mailing address

1N131 County Farm Rd
Winfield, IL 60190-2000
Phone (630) 682-3871

Other practice location 1

332 W Marion Ave
Forsyth, IL 62535-1018
Phone (217) 875-4395

Other practice location 2

1865 N Henderson St Ste 10
Galesburg, IL 61401-1377
Phone (309) 343-3030

Other practice location 3

3000 N Main St Unit C
East Peoria, IL 61611-1713
Phone (309) 698-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

3000 N Main St
Unit C
East Peoria, IL 61611
Phone (309) 689-9760

1865 N Henderson St
Ste 10
Galesburg, IL 61401
Phone (309) 343-3030

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 30, 2020 Change of OwnershipThis provider was the seller Traditions HealthCCN 141569, IL, NPI 1205438660

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1013910124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N131 COUNTY FARM RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902000",
            "telephone_number": "630-682-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N131 COUNTY FARM RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902000",
            "telephone_number": "630-682-3871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 W Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "IL",
            "postal_code": "625351018",
            "country_code": "US",
            "telephone_number": "217-875-4395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 N Henderson St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614011377",
            "country_code": "US",
            "telephone_number": "309-343-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Main St Unit C",
            "address_purpose": "LOCATION",
            "city": "East Peoria",
            "state": "IL",
            "postal_code": "616111713",
            "country_code": "US",
            "telephone_number": "309-698-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-682-3871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.