Passages Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

141620 Issued in IL

Legal business name

PASSAGES HOSPICE, LLC

Practice address

515 Warrenville Road
Lisle, IL 60532-1307

Phone

(630) 824-0400

Fax

(630) 395-9235

NPI assigned

Jul 7, 2005

Last updated

Feb 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Seth Gillman

Title

Administrator

Phone

(630) 824-0400

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajiv Kandala, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1376608059
  NPD (past)
• Birinder S Marwah, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1902859036
  NPD (past)
• Patricia Anne Morgan, APN, NP

  • Adult Health Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1427206895
  NPD (past)
• John Rinker, DO

  • Family Medicine Physician
  • Pontiac, IL
  • NPI 1255449393
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1386641298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WARRENVILLE ROAD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321307",
            "telephone_number": "630-824-0400",
            "fax_number": "630-395-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WARRENVILLE ROAD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321307",
            "telephone_number": "630-824-0400",
            "fax_number": "630-395-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-824-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002376",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "141620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002376",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ailyn L. Padilla, NP
• Yoojin Kim Pak, M.D.
• Terry Palmer
• Midori Takeyasu Par, M.D.
• Elizabeth Parker
• Past Present Future
• Anmol Patel, APN
• Charmi M Patel, O.D.
• Hiral Patel
• Krishma Dharesh Patel, PA-C

• Community Based Hospice Care Agency in Lisle, IL
• Providers in Lisle, 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 Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.