Medi-Plex Hospice of Illinois, LLC

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

Legal business name

MEDI-PLEX HOSPICE OF ILLINOIS, LLC

Practice address

8 Park Place
Suite #3
Swansea, IL 62226

Phone

(618) 416-6900

Fax

(618) 416-6902

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Glenda Faye White, MBA, BSN, RN

Title

Ceo/Owner

Phone

(618) 416-6900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1497314371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PARK PLACE",
            "address_2": "SUITE #3",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-416-6900",
            "fax_number": "618-416-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PARK PLACE",
            "address_2": "SUITE #3",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-416-6900",
            "fax_number": "618-416-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-PLEX HOSPICE OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-416-6900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah K McDermott, M.D.
• Donna McGhee, NP
• Murray D McGrady, MD
• Aiesha Nicole McIntosh, MSW, LCSW
• Medexpress Urgent Care Illinois, P.C.
• Tasha Meeks, LCSW
• Laure Megahy
• Menm, LLC
• Mental Health Resilience Group
• Mercy Rehab and Care Center, Inc.

• Hospice Registered Nurse in Swansea, IL
• Providers in Swansea, IL by specialty
• Hospice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.