Organization Active NPI

Transitions Hospice Central Illinois, LLC

  • Community Based Hospice Care Agency
  • Champaign, IL
National Provider Identifier
1063928315
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRANSITIONS HOSPICE CENTRAL ILLINOIS, LLC
Practice address
3011A Village Office PL
Champaign, IL 61822-7696
Phone
(847) 515-1505
NPI assigned
Dec 22, 2017
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Patricia Benson
Title
Ceo
Phone
(847) 515-1505

Specialties & licenses 1

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

Addresses

Primary practice location

3011A Village Office PL
Champaign, IL 61822-7696

Mailing address

8913 N Prairie Pointe Rd
Peoria, IL 61615-1577
Phone (847) 515-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180921002422 IL Part A Provider - Hospice 2365793858 Practice locations: Champaign, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063928315. Details of each certification follow.

Hospice certification: CCN 141702

Legal name
TRANSITIONS HOSPICE CENTRAL ILLINOIS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 23, 2019
Last certification
May 23, 2019
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
in IL
Enrollment address
3011A Village Office PL
Champaign, IL 61822-7696

Care Compare: Hospice

Medicare Care Compare
Listed as
Transitions Hospice Central Illinois LLCCCN 141702 · All quality measures
Ownership
For-Profit
Certified
May 23, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

201 N Randolph St
Champaign, IL 61820

3011A Village Office Pl
Champaign, IL 61822

3435 Liberty Dr
Springfield, IL 62704
Phone (217) 212-9121

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Omar Khamis Individual Corporate OfficerCfo Dec 3, 2023
Transitions Acquisition LP Organization, Birmingham, MI Holding company 5% Or Greater Indirect Ownership Interest Dec 31, 2020 59.31%
Transitions Intermediate Holdings LLC Organization, Birmingham, MI LLC 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Operational/Managerial Control Dec 31, 2020
James M Palazzo Individual 5% Or Greater Indirect Ownership Interest Dec 14, 2017 34.68%
Kara Hocdebecke Individual W-2 Managing EmployeeAd; Dec 31, 2023
Darrin M Ray Individual Contracted Managing EmployeeMD; Mar 10, 2024
Corporate OfficerCeo Dec 3, 2023
Kai Holdings LLC Organization, Birmingham, MI LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2020 34.68%
Patricia Benson Individual Corporate OfficerCeo Dec 3, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

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": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1063928315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011A VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227696",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS HOSPICE CENTRAL ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.