Organization Active NPI

Precious Hospice of Chicago, LLC

  • Community Based Hospice Care Agency
  • Chicago, IL
National Provider Identifier
1437714953
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRECIOUS HOSPICE OF CHICAGO, LLC
Practice address
3517 S King Dr
Chicago, IL 60653-1109
Phone
(470) 878-5051
NPI assigned
May 9, 2019
Last updated
May 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Henry Mason
Title
Ceo
Phone
(470) 878-5051

Specialties & licenses 1

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

Addresses

Primary practice location

3517 S King Dr
Chicago, IL 60653-1109

Mailing address

105 Habersham Dr Ste D
Fayetteville, GA 30214-7341
Phone (470) 878-5051

National Provider Directory

National Provider Directory

Locations

3517 S King Dr
Chicago, IL 60653
Phone (470) 878-5051

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1437714953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HABERSHAM DR STE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147341",
            "telephone_number": "470-878-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531109",
            "telephone_number": "470-878-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HOSPICE OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-878-5051"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.