Etecon Hospice Illinois Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ETECON HOSPICE ILLINOIS INC

Doing business as

Etecon Hospice

Practice address

332 S Michigan Ave Ste 102
Chicago, IL 60604-4434

Phone

(888) 984-8220

Fax

(888) 984-4244

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Raul Nocete, RN

Title

President

Phone

(888) 984-8220

Specialties & licenses 1

Addresses

Other names 1

• Etecon Hospice Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1134871437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "888-984-8220",
            "fax_number": "888-984-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "888-984-8220",
            "fax_number": "888-984-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETECON HOSPICE ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "NOCETE",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-984-8220",
        "authorized_official_name_prefix": "Mr.",
        "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": "eteconhospice.com",
            "affiliation": "N",
            "endpointDescription": "Etecon Hospice EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "332 S Michigan Ave Ste 102",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606044434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Etecon Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Chicago, IL
• Providers in Chicago, 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 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.