Organization Active NPI

Senior Hospice Care,LTD

  • Community Based Hospice Care Agency
  • Woodridge, IL
National Provider Identifier
1386924462
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SENIOR HOSPICE CARE,LTD
Practice address
900 S Frontage Rd
Suite 130
Woodridge, IL 60517-4903
Phone
(630) 226-1306
Fax
(630) 226-1384
NPI assigned
Aug 22, 2011
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Roger A Bruhn
Title
Director
Phone
(918) 894-3487

Specialties & licenses 1

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

Addresses

Primary practice location

900 S Frontage Rd
Suite 130
Woodridge, IL 60517-4903

Mailing address

1214 E 33Rd St
Tulsa, OK 74105-2018
Phone (918) 894-3487

National Provider Directory

National Provider Directory

Locations

6031 Dempster St
#B
Morton Grove, IL 60053
Phone (847) 470-9284

900 S Frontage Rd
Ste 130
Woodridge, IL 60517
Phone (630) 226-1306

900 S Frontage Rd
Unit 130
Woodridge, IL 60517
Phone (630) 226-1306

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1386924462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052018",
            "telephone_number": "918-894-3487",
            "fax_number": "918-712-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S FRONTAGE RD",
            "address_2": "SUITE 130",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174903",
            "telephone_number": "630-226-1306",
            "fax_number": "630-226-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOSPICE CARE,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-894-3487"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.