Breeze Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BREEZE HOSPICE, LLC

Practice address

14 Park PL Ste B
Swansea, IL 62226-2929

Phone

(618) 416-6410

Fax

(618) 416-6407

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kulsoom Junaid, MDNPI 1497827968

Title

Administartor

Phone

(314) 922-2662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Breeze Operations, LLC

  • Community Based Hospice Care Agency
  • Shiloh, IL
  • NPI 1508642471

  Sold to, 2023-09-01

  CMS change of ownership

Practitioners 1

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

• Kulsoom Fatima Junaid, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1497827968
  NPD (past) Authorized official

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1669898805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PARK PL STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262929",
            "telephone_number": "618-416-6410",
            "fax_number": "618-416-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PARK PL STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262929",
            "telephone_number": "618-416-6410",
            "fax_number": "618-416-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "JUNAID",
        "authorized_official_first_name": "KULSOOM",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "314-922-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyla Rose Bougor, LCPC
• Jonathan Alexander Bowles, LMT, MMP
• Molly A Braddock, PA-C
• Samantha Lynn Braden, AUD
• Bravo Care of Swansea Inc
• Janine Gullick Bridenbaugh, MS,CCC-SLP
• Lawrence E Bridges, DC
• Bright Smiles
• Matthew Brigman
• Brigitta M. Brink, RN, MSN, CWOCN

• Community Based Hospice Care Agency in Swansea, IL
• Providers in Swansea, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.