NPIMap

Organization Active NPI

Meridian Hospice, Inc

Doing business as Advocate Hospice

  • Community Based Hospice Care Agency
  • Bloomington, IL
National Provider Identifier
1689905879
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2000123 Issued in IL
Legal business name
MERIDIAN HOSPICE, INC
Doing business as
Advocate Hospice
Practice address
303 N Hershey Rd
Suite C
Bloomington, IL 61704-3576
Phone
(309) 888-0930
Fax
(309) 268-5960
NPI assigned
Jan 27, 2010
Organization subpart
Yes
Parent organization
MERIDIAN HOSPICE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Ms. Denise Keefe
Title
President
Phone
(630) 368-5907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2000123 IL Primary

Addresses

Primary practice location

303 N Hershey Rd
Suite C
Bloomington, IL 61704-3576

Mailing address

2311 W 22ND St
Oak Brook, IL 60523-1225
Phone (630) 572-1232

Other names 1

  • Advocate Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one
Part of
Advocate at Home

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

303 N Hershey Rd
Ste C
Bloomington, IL 61704
Phone (309) 268-5930

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1689905879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231225",
            "telephone_number": "630-572-1232",
            "fax_number": "630-368-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N HERSHEY RD",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043576",
            "telephone_number": "309-888-0930",
            "fax_number": "309-268-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HOSPICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN HOSPICE, INC",
        "enumeration_date": "2010-01-27",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-368-5907",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.