Organization Active NPI

Hospice of Greater Chicago, LLC

Doing business as Sanctuary Hospice

  • Community Based Hospice Care Agency
  • Westchester, IL
National Provider Identifier
1124418041
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF GREATER CHICAGO, LLC
Doing business as
Sanctuary Hospice
Practice address
1 Westbrook Corporate Ctr Ste 525
Westchester, IL 60154-5743
Phone
(630) 226-1306
Fax
(708) 630-0480
NPI assigned
Jan 30, 2015
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Jesse R Moore
Title
Chief Administrative Officer
Phone
(857) 331-6271

Specialties & licenses 1

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

Addresses

Primary practice location

1 Westbrook Corporate Ctr Ste 525
Westchester, IL 60154-5743

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711

Other identifiers 1

IdentifierTypeStateIssuer
2003170OtherILSTATE LICENSE

Other names 1

  • Sanctuary Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150427002028 IL Part A Provider - Hospice 3577882497 Practice locations: Rockford, IL; Skokie, IL; Tinley Park, IL; Westchester, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124418041. Details of each certification follow.

Hospice certification: CCN 141648

Legal name
HOSPICE OF GREATER CHICAGO LLC
Doing business as
SANCTUARY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 8, 2012
Last certification
Nov 8, 2012
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 28, 2015 in TX
Enrollment address
1 Westbrook Corporate Ctr
Ste 525
Westchester, IL 60154-5743

Care Compare: Hospice

Medicare Care Compare
Listed as
Sanctuary HospiceCCN 141648 · All quality measures
Ownership
For-Profit
Certified
Nov 8, 2012
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
14D2203665Sanctuary Hospice1 Westbrook Corporate Center - Ste 525, Westchester, IL 60154Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

6876 Spring Creek Rd
Ste 124
Rockford, IL 61114
Phone (815) 977-4903

7025 Rote Rd
Rockford, IL 61107
Phone (815) 977-4903

9855 Woods Dr
Ste G100
Skokie, IL 60077
Phone (847) 904-2761

16335 Harlem Ave
Ste 350
Tinley Park, IL 60477
Phone (708) 630-0480

1 Westbrook Corporate Ctr
Ste 525
Westchester, IL 60154
Phone (312) 662-1009

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
THL Equity Fund VIII Investors (Hospice Care), L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 29.16%
Jesse Reo Moore Individual Corporate OfficerChief Administrative Officer May 26, 2021
W-2 Managing EmployeeChief Administrative Officer May 26, 2021
Care Hospice, Inc. Organization, Charlottesville, VA Corporation, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 23, 2020 100%
Thomas H. Lee Equity Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 15.07%
Thomas H. Lee Parallel Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 27.44%
Care Hospice Acquisition, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 5, 2019 100%
Kim Dodds Individual W-2 Managing EmployeeAd; Mar 14, 2022
Hospice Care Buyer, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Hospice Care Holdings, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Bart K Valdez Individual Corporate OfficerChief Executive Officer Jan 6, 2025
W-2 Managing EmployeeChief Executive Officer Jan 6, 2025
Krishdeep Khosla Individual Contracted Managing EmployeeMD; Jan 6, 2024
Hospice Care Intermediate I, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Grant Brown Individual Corporate OfficerChief Financial Officer Dec 5, 2019
W-2 Managing EmployeeExecutive Vice President Dec 5, 2019
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Dec 5, 2019 9.42%
Hospice Care Intermediate II, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Dana K Reid Individual Corporate OfficerSVP Compliance Regulatory & Privacy Jan 4, 2025
W-2 Managing EmployeeSVP Compliance Regulatory & Privacy Jan 4, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1124418041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAULCONER DR STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035089",
            "telephone_number": "434-977-9711",
            "fax_number": "434-235-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR STE 525",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545743",
            "telephone_number": "630-226-1306",
            "fax_number": "708-630-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF GREATER CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "857-331-6271"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2003170",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanctuary Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanctuary Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.