Active NPI
Centered Care Hospice and Palliative LLC
- Community Based Hospice Care Agency
- Joliet, IL
National Provider Identifier
1083181473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2022
- 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
- Nathalie Gaudiano
- Title
- Vice President
- Phone
- (815) 630-2279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Jun 6, 2024 | Change of Ownership | Dover Hospice Il Chicago Metro, LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Woodridge, IL
- NPI 1811745730
Sold to, 2024-06-06
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.