NPIMap

Organization Active NPI

Rainbow Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Champaign, IL
National Provider Identifier
1407893282
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2001873 Issued in IL
Legal business name
RAINBOW HOSPICE AND PALLIATIVE CARE
Practice address
1501 Interstate Dr
Champaign, IL 61822-1006
Phone
(217) 353-3400
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Michael Gordon
Title
Cfo
Phone
(708) 478-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2001873 IL Primary

Addresses

Primary practice location

1501 Interstate Dr
Champaign, IL 61822-1006

Mailing address

2380 E Dempster St
Des Plaines, IL 60016-4839
Phone (847) 493-4835

Other identifiers 1

IdentifierTypeStateIssuer
50607OtherBLUE CROSS

Other names 1

  • Presence Hospice - Urbana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presence Home Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1407893282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 E DEMPSTER ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164839",
            "telephone_number": "847-493-4835",
            "fax_number": "847-493-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 INTERSTATE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221006",
            "telephone_number": "217-353-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-478-7911"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Hospice - Urbana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.