Midwest Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MIDWEST HOSPICE LLC

Practice address

1045 Dixie Hwy Ste 100
Chicago Heights, IL 60411-2622

Phone

(708) 439-2271

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Raul Nocete, RN

Title

Authorized Official

Phone

(888) 984-8220

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Hospice certification: CCN 141730

Legal name

MIDWEST HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 21, 2023

Last certification

Nov 21, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Oct 6, 2021 in IL

Enrollment address

1045 Dixie Hwy
Ste 100
Chicago Heights, IL 60411-2622

Listed as

Midwest Hospice LLCCCN 141730

Certified

Nov 21, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

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

• Olukemi M Adeleke

  • Nurse Practitioner
  • Lisle, IL
  • NPI 1952804361

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olukemi M Adeleke

  • Nurse Practitioner
  • Lisle, IL
  • NPI 1952804361
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Satinder Pal Singh Dalawari, MD

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1750449880

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1104578129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 DIXIE HWY STE 100",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112622",
            "telephone_number": "708-439-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 DIXIE HWY STE 100",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112622",
            "telephone_number": "708-439-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "NOCETE",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "888-984-8220",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.midwesthospiceil.com",
            "affiliation": "N",
            "endpointDescription": "midwest hospice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1045 Dixie Hwy Ste 100",
            "city": "Chicago Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604112622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antiqua McMorris
• Mett Rehabilitation
• Melissa Metzger, COTA/L
• Morgan Meyers
• Midwest Behavioral Center Inc.
• Anthony Millard, M.D.
• Millennium Gardens
• Donald R Miller
• Mindcare Physical Medicine & Rehab Clinic, Inc.
• William W Misischia, D.D.S.

• Community Based Hospice Care Agency in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.
• 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.

Verify at the official NPI Registry.