Organization Active NPI

Good Heart Hospice, Inc.

  • Community Based Hospice Care Agency
  • Rolling Meadows, IL
National Provider Identifier
1073696456
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002996 Issued in IL
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

Updated by the provider on Nov 8, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 141627
Ownership
For-Profit
Certified
Mar 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1053010Good Heart Hospice Inc3501 W Algonquin - Ste 190, Rolling Meadows, IL 60008Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ravi Badlani Individual Contracted Managing EmployeeMD; Oct 1, 2021
Maria Isabel Turtogo-Sacay Individual 5% Or Greater Direct Ownership Interest Dec 30, 2014 50%
Operational/Managerial ControlPresident, Administrator, Board Dec 30, 2014 50%
Ranulfo S Vizcarra Individual 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.

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

Verify at the official NPI Registry.