Organization Active NPI

St. Margaret's Health-Peru

Doing business as Illinois Valley Hospice

  • Community Based Hospice Care Agency
  • Peru, IL
National Provider Identifier
1467428466
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2000677 Issued in IL
Legal business name
ST. MARGARET'S HEALTH-PERU
Doing business as
Illinois Valley Hospice
Practice address
1305 6TH St
Peru, IL 61354-2759
Phone
(815) 224-1307
Fax
(815) 224-1665
NPI assigned
Feb 28, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Lisa Kay Lynch
Title
Avp of Finance
Phone
(815) 780-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2000677 IL Primary

Addresses

Primary practice location

1305 6TH St
Peru, IL 61354-2759

Mailing address

1305 6TH St
Peru, IL 61354-2759
Phone (815) 224-1307

Other identifiers 1

IdentifierTypeStateIssuer
9558OtherILBLUE CROSS PROVIDER #

Other names 1

  • Illinois Valley Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1467428466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 6TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542759",
            "telephone_number": "815-224-1307",
            "fax_number": "815-224-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 6TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542759",
            "telephone_number": "815-224-1307",
            "fax_number": "815-224-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET'S HEALTH-PERU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "AVP OF FINANCE",
        "authorized_official_telephone_number": "815-780-3574"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2000677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "9558",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Valley Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illinois Valley Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.