NPIMap

Organization Active NPI

Vista Health D/B/a St. Therese Medical Center

Doing business as Star Hospice of Vista Health

  • Inpatient Hospice
  • Waukegan, IL
National Provider Identifier
1255380101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
2002509 Issued in IL
Legal business name
VISTA HEALTH D/B/A ST. THERESE MEDICAL CENTER
Doing business as
Star Hospice of Vista Health
Practice address
99 W Greenwood Ave
Waukegan, IL 60087-5136
Phone
(847) 360-2220
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara J. Martin
Title
President and Ceo
Phone
(847) 360-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 2002509 IL Primary

Addresses

Primary practice location

99 W Greenwood Ave
Waukegan, IL 60087-5136

Mailing address

99 W Greenwood Ave
Waukegan, IL 60087-5136

Other names 1

  • Star Hospice of Vista Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Star Hospice of Vista Health2 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.

Locations

99 W Greenwood Ave
Waukegan, IL 60087
Phone (847) 360-2220

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255380101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W GREENWOOD AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600875136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W GREENWOOD AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600875136",
            "telephone_number": "847-360-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTH D/B/A ST. THERESE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "847-360-3000"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "IL",
            "license": "2002509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Hospice of Vista Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.