Anodyne Palliative Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANODYNE PALLIATIVE SERVICES LLC

Practice address

999 N Main St Ste 102a
Glen Ellyn, IL 60137-3572

Phone

(630) 770-0684

NPI assigned

Dec 23, 2021

Organization subpart

No

Name

Zeenat Mohammed, RN

Title

Administrator

Phone

(630) 984-2274

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sandal Faisal Ishaque, MD

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1659722262

  5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, Corporate Director, General Partnership Interest, Limited Partnership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandal Faisal Ishaque, MD

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1659722262
  NPD

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abdul Qadir, M.D.

  • Internal Medicine Physician
  • Aurora, IL
  • NPI 1891705182

  Hospice

  Care Compare affiliation
• Kathleen A Ward, M.D.

  • Cardiovascular Disease Physician
  • La Grange, IL
  • NPI 1861501728

  Hospice

  Care Compare affiliation

Listed as

Anodyne Palliative Services, LLCCCN 141722

Certified

Jan 20, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Legal name

ANODYNE PALLIATIVE SERVICES LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 20, 2023

Last certification

Jan 12, 2023

Organization structure

LLCProprietary

Incorporated

Jun 4, 2021 in IL

Enrollment address

999 N Main St
Ste 102a
Glen Ellyn, IL 60137-3572

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2024.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1437819935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 102A",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373572",
            "telephone_number": "630-984-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 102A",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373572",
            "telephone_number": "630-770-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE PALLIATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ZEENAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-984-2274",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hafsa Amjed, M.D
• Penelope A Andersen, LCSW,LMFT,MSW
• Edwin Anderson, MD
• Jasmine Anish, FNP
• Anodyne Home Health LLC
• Asim Mohammad Ansari, D.D.S.
• Anthony Bianco, DMD P.C.
• Kimberly M Antos-Hogan, MA,LCPC, CRC,
• Katrina Marie Appiah, LCSW
• Jocelyn S Arackal, FNP,

• All providers in Glen Ellyn, IL
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.