Premier Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2001865 Issued in IL

Legal business name

PREMIER HOSPICE, INC.

Practice address

1600 167TH St
Suite 33
Calumet City, IL 60409-5457

Phone

(219) 756-7640

Fax

(219) 756-3876

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Huddleston

Title

Vice President

Phone

(219) 756-7640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023089257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463100610",
            "telephone_number": "219-756-7640",
            "fax_number": "219-756-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 167TH ST",
            "address_2": "SUITE 33",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095457",
            "telephone_number": "219-756-7640",
            "fax_number": "219-756-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "219-756-7640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierson Medical Group Inc
• Pinakinprasad Dave, MD, SC
• Pioneer Concepts Inc
• Krystian Posnik, PT
• Prabhakar J. Parikh, M.D.P.C
• Quality Transportation Chicago
• Soham Rajpara, DDS
• Randall F Akel & Associates S C
• Anthony Carl Redmond, PSYD. M.A., CAADC
• Tiraney Redmond

• Community Based Hospice Care Agency in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Community Based Hospice Care Agency in Illinois

• 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.