NPIMap

Organization Active NPI

Ihcc Hospice Inc

  • Community Based Hospice Care Agency
  • Princeton, IL
National Provider Identifier
1114525243
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
IHCC HOSPICE INC
Practice address
602 N Main St
Princeton, IL 61356-1329
Phone
(815) 872-7447
Fax
(855) 356-4048
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Joseph Park
Title
Owner
Phone
(815) 872-7447

Specialties & licenses 1

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

Addresses

Primary practice location

602 N Main St
Princeton, IL 61356-1329

Mailing address

602 N Main St
Princeton, IL 61356-1329
Phone (815) 872-7447

Other identifiers 1

IdentifierTypeStateIssuer
2003200OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH

Other names 1

  • In-Home Care Connection Hospice Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201023003125 IL Part A Provider - Hospice 6709206196 Practice locations: Princeton, IL

Hospice certification: CCN 141711

Legal name
IHCC HOSPICE INC
Doing business as
IN-HOME CARE CONNECTION HOSPICE SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 17, 2021
Last certification
Jun 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2020 in IL
Enrollment address
680 W Peru St
Princeton, IL 61356-6803

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ihcc Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Christopher Welch Individual 5% Or Greater Direct Ownership InterestTreasurer Aug 4, 2020 25%
Joseph E Park Individual 5% Or Greater Direct Ownership InterestPresident Aug 4, 2020 25%
Operational/Managerial ControlPresident Aug 4, 2020 100%
Shaunee Powers Individual W-2 Managing EmployeeAd; Jul 14, 2025
Denise Welch Individual 5% Or Greater Direct Ownership InterestSecretary Aug 4, 2020 25%
Kim Woolley Individual 5% Or Greater Direct Ownership Interest Aug 4, 2020
Paul Bonucci Individual Contracted Managing EmployeeMD; Nov 1, 2023

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
In-Home Care Connection Hospice ServicesCCN 141711
Ownership
For-Profit
Certified
Jun 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1114525243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561329",
            "telephone_number": "815-872-7447",
            "fax_number": "855-356-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561329",
            "telephone_number": "815-872-7447",
            "fax_number": "855-356-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHCC HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-872-7447"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "2003200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In-Home Care Connection Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, IL

Sources for this page

Verify at the official NPI Registry.