Organization Active NPI

Luxe Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Des Plaines, IL
National Provider Identifier
1578258000
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LUXE HOSPICE AND PALLIATIVE CARE LLC
Practice address
2860 S River Rd Ste 145
Des Plaines, IL 60018-6008
Phone
(847) 372-5920
Fax
(847) 588-1147
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Mr. Tony Kochuparambil, OT
Title
Managing Partner
Phone
(847) 372-5920

Specialties & licenses 1

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

Addresses

Primary practice location

2860 S River Rd Ste 145
Des Plaines, IL 60018-6008

Mailing address

2860 S River Rd Ste 145
Des Plaines, IL 60018-6008
Phone (847) 372-5920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423004269 IL Part A Provider - Hospice 7113366170 Practice locations: Des Plaines, IL

Hospice certification: CCN 141740

Legal name
LUXE HOSPICE AND PALLIATIVE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 13, 2024
Last certification
Dec 5, 2024
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Enrollment address
2860 S River Road
Ste 145
Des Plaines, IL 60018-6002

Care Compare: Hospice

Medicare Care Compare
Listed as
Luxe Hospice and Palliative Care LLCCCN 141740
Certified
Dec 13, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2860 S River Rd
Ste 145
Des Plaines, IL 60018
Phone (708) 746-8150

2340 S River Rd
Ste 411C
Des Plaines, IL 60018

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Tony Chacko Kochuparambil Individual General Partnership InterestVice President Mar 10, 2023 50%
Pritesh J Patel Individual Operational/Managerial ControlPresident Mar 10, 2023 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1578258000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S RIVER RD STE 145",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600186008",
            "telephone_number": "847-372-5920",
            "fax_number": "847-588-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S RIVER RD STE 145",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600186008",
            "telephone_number": "847-372-5920",
            "fax_number": "847-588-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "KOCHUPARAMBIL",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "847-372-5920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.