Organization Active NPI

Centered Care Hospice and Palliative LLC

  • Community Based Hospice Care Agency
  • Joliet, IL
National Provider Identifier
1083181473
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CENTERED CARE HOSPICE AND PALLIATIVE LLC
Practice address
350 Houbolt Rd Ste 209a
Joliet, IL 60431-8305
Phone
(815) 630-2279
Fax
(815) 630-2665
NPI assigned
Oct 24, 2018
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Nathalie Gaudiano
Title
Vice President
Phone
(815) 630-2279

Specialties & licenses 1

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

Addresses

Primary practice location

350 Houbolt Rd Ste 209a
Joliet, IL 60431-8305

Mailing address

350 Houbolt Rd Ste 209a
Joliet, IL 60431-8305
Phone (815) 630-2279

Medicare participation

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

National Provider Directory

National Provider Directory

Locations

350 Houbolt Rd
#1021
Joliet, IL 60431

350 Houbolt Rd
Ste 1021
Joliet, IL 60431

350 Houbolt Rd
Ste 102A
Joliet, IL 60431

350 Houbolt Rd
Ste 209A
Joliet, IL 60431
Phone (314) 884-8817

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 6, 2024 Change of OwnershipThis provider was the seller Dover Hospice Il Chicago Metro, LLCCCN 141705, IL, NPI 1811745730

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1083181473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD STE 209A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-630-2279",
            "fax_number": "815-630-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD STE 209A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-630-2279",
            "fax_number": "815-630-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED CARE HOSPICE AND PALLIATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GAUDIANO",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "815-630-2279"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.