Active NPI
Accord Hospice, Inc.
- Community Based Hospice Care Agency
- Deerfield, IL
National Provider Identifier
1487946810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ACCORD HOSPICE, INC.
- Practice address
- 400 Lake Cook Rd Ste 223
Deerfield, IL 60015-4930 - Phone
- (847) 780-4594
- Fax
- (847) 433-6470
- NPI assigned
- May 3, 2011
- Last updated
- Oct 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Geller
- Title
- President
- Phone
- (847) 220-4297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
400 Lake Cook Rd Ste 223
Deerfield, IL 60015-4930
Mailing address
400 Lake Cook Rd Ste 223
Deerfield, IL 60015-4930
Phone (847) 780-4594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487946810. Details of each certification follow.
Hospice certification: CCN 141650
- Legal name
- ACCORD HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 11, 2013
- Last certification
- Apr 11, 2013
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 2, 2011 in IL
- Enrollment address
- 400 Lake Cook Rd
Ste 223
Deerfield, IL 60015-4930
Care Compare: Hospice
Medicare Care Compare- Listed as
- Accord Hospice
- Ownership
- For-Profit
- Certified
- Apr 11, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
400 Lake Cook Rd
Ste 223
Deerfield, IL 60015
Phone (847) 780-4594
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Angela Novakovsky | W-2 Managing Employee | Apr 1, 2015 | 37.5% |
| Joni Mantelman | Corporate Director | Dec 9, 2024 | 15% |
| Yury Shklyar | Contracted Managing Employee | Apr 6, 2022 | 5% |
| Marina Geller | 5% Or Greater Direct Ownership Interest | Mar 2, 2011 | 100% |
| Corporate Officer | Mar 2, 2011 | 100% | |
| Operational/Managerial Control | Mar 2, 2011 | 37.5% | |
| Murray Salzman | Contracted Managing Employee | Jan 10, 2020 | 5% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pulmonary Disease Physician
- Vernon Hills, IL
- NPI 1134131360
Contracted Managing Employee
-
- Family Medicine Physician
- Libertyville, IL
- NPI 1558440404
Contracted Managing Employee
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.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1083005268
Affiliated clinicians 22
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1487946810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LAKE COOK RD STE 223",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154930",
"telephone_number": "847-780-4594",
"fax_number": "847-433-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LAKE COOK RD STE 223",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154930",
"telephone_number": "847-780-4594",
"fax_number": "847-433-6470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCORD HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-03",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "GELLER",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-220-4297"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, IL
- Daniel A Abrams, LCSW
- Leslie A. Abrams, PH.D.
- Lisa Y. Abrams, MD
- Jaclyn Abramson, LCPC
- Accelerated Rehabiliation Centers LTD (Athletico Physical Therapy)
- Allison D. Ackerman, PH.D.
- Tiana Adams
- Addus Hospice of Illinois, LLC (JourneyCare - Deerfield)
- Jordan Ader, MSW, LSW
- Temesgen Yohannes Adino, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.