Active NPI
Good Heart Hospice, Inc.
- Community Based Hospice Care Agency
- Rolling Meadows, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 2002996
- Legal business name
- GOOD HEART HOSPICE, INC.
- Doing business as
- Hope Palliative and Hospice Care
- Practice address
- 3501 Algonquin Rd Ste 190
Rolling Meadows, IL 60008-3131 - Phone
- (847) 803-0400
- Fax
- (847) 803-0499
- NPI assigned
- Oct 22, 2006
- 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
- Ranulfo S. Vizcarra
- Title
- President/Owner
- Phone
- (847) 803-0400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 1764085 | IL | |
| Community Based Hospice Care Agency | 251G00000X | 2002996 | IL | Primary |
Addresses
Primary practice location
3501 Algonquin Rd Ste 190
Rolling Meadows, IL 60008-3131
Mailing address
3501 Algonquin Rd Ste 190
Rolling Meadows, IL 60008-3131
Phone (847) 803-0400
Other names 1
- Hope Palliative and Hospice Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061114000230 | IL | Part A Provider - Hospice | 4486652153 | Practice locations: Rolling Meadows, IL |
Hospice certification: CCN 141627
- Legal name
- GOOD HEART HOSPICE, INC.
- Doing business as
- HOPE HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 1, 2007
- Last certification
- Dec 2, 2011
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Mar 3, 2006 in IL
- Enrollment address
- 3501 Algonquin Rd
Ste 190
Rolling Meadows, IL 60008-3131
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hope Hospice, Inc
- Ownership
- For-Profit
- Certified
- Mar 1, 2007
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1053010 | Good Heart Hospice Inc | Certificate of waiver | Apr 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
1274 W Northwest Hwy
Palatine, IL 60067
Phone (847) 776-0800
1550 N Northwest Hwy
Ste 333
Park Ridge, IL 60068
Phone (847) 803-0400
1550 N Northwest Hwy
Ste 204
Park Ridge, IL 60068
Phone (847) 803-0400
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Ravi Badlani | Contracted Managing Employee | Oct 1, 2021 | |
| Maria Isabel Turtogo-Sacay | 5% Or Greater Direct Ownership Interest | Dec 30, 2014 | 50% |
| Operational/Managerial Control | Dec 30, 2014 | 50% | |
| Ranulfo S Vizcarra | 5% Or Greater Direct Ownership Interest | Dec 30, 2014 | 50% |
| Corporate Director | Apr 7, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1790758944
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1161475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1073696456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 ALGONQUIN RD STE 190",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083131",
"telephone_number": "847-803-0400",
"fax_number": "847-803-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 ALGONQUIN RD STE 190",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083131",
"telephone_number": "847-803-0400",
"fax_number": "847-803-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HEART HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-22",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "VIZCARRA",
"authorized_official_first_name": "RANULFO",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "847-803-0400"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IL",
"license": "1764085",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IL",
"license": "2002996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Palliative and Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.