Seasons Hospice, LLC
Organization Active NPI Community Based Hospice Care Agency · Rosemont, IL
NPI 1700889656 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1700889656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 2002012 (IL)
- Legal business name
- SEASONS HOSPICE, LLC
- Practice address
- 6400 Shafer CT Ste 300
Rosemont, IL 60018-4929 - Phone
- (847) 759-9449
- Fax
- (847) 759-9449
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Heather Siscel
- Title
- VP Legal
- Phone
- (847) 759-9449
Owners & managing parties with NPI records 1
-
Allen S Krall, M.D.
Facilities with the same owner 114
Affiliated clinicians 7
-
Parag Kiran Amin, DO
-
John D Brofman, M.D.
-
Dana M Delach, MD
-
Manish I Desai, D.O.
-
Asfahan Moein Khan, D.O.
-
Ananta Raj Pandit, M.D
-
Mark Adam Watson, D.O.
Medicare Care Compare: Hospice
- Listed as
- Accentcare Hospice & Palliative Care of Illinois
- Ownership
- For-Profit
- Certified
- May 9, 1995
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0931178 | Accentcare Hospice & Palliative Care of Illinois | Certificate of waiver | Jul 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Hospice certification: CCN 141582
- Legal name
- SEASONS HOSPICE, LLC
- Doing business as
- ACCENTCARE HOSPICE & PALLIATIVE CARE OF ILLINOIS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 9, 1995
- Last certification
- Dec 19, 2014
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 6400 Shafer CT
Ste 300
Rosemont, IL 60018-4929
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Accentcare, Inc. |
5% Or Greater Direct Ownership Interest | Dec 21, 2020 | 100% |
| Advent International Gpe VIII-B, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.1% |
| Horizon Acquisition Co Inc. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| Advent International Gpe VIII-H, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.5% |
| Horizon Group Holdings Intermediate 2, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| Seasons Rollover Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.4% |
| Horizon Group Holdings Intermediate 1, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| Advent International Gpe VIII-I, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.1% |
| Horizon Group Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| John Guess |
Corporate Officer |
Dec 14, 2023 | |
| Advent International Gpe VIII-J LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5% |
| Advent International Gpe VIII-B-1, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.4% |
| Advent International Gpe VIII-B-3, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 6.3% |
| Heather Siscel |
Corporate Officer | Aug 1, 2022 | |
| Advent International Gpe VIII-a LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 11.2% |
| Andrew Johnston |
Corporate Officer |
Jun 6, 2024 | |
| Allen S Krall |
Contracted Managing Employee |
Feb 1, 2026 | |
| Dena Schwartz-Doty |
Corporate Officer |
Aug 1, 2022 | |
| Robin Keating |
W-2 Managing Employee |
Dec 15, 2025 | |
| Pluto Acquisition I Inc |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050609000251 | IL | Part a Provider - Hospice | 4880503549 | Practice locations: Berwyn, IL; Burr Ridge, IL; Chicago, IL; Naperville, IL; Rosemont, IL |
National Provider Directory
Locations
3249 Oak Park Ave
#45N
Berwyn, IL 60402
Phone (708) 783-7250
745 McClintock Dr
Ste 230
Burr Ridge, IL 60527
Phone 63065490347280
2701 W 68th St
Fl 6
Chicago, IL 60629
Phone (773) 884-8200
2751 W Winona St
Fl 4
Chicago, IL 60625
Phone (773) 293-8800
1225 W Lake St
Fl 3
Melrose Park, IL 60160
Phone (847) 759-9449
2195 W Diehl Rd
Naperville, IL 60563
Phone (630) 236-4323
621 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 323-2414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2002012 | IL | Yes |
Addresses
Primary practice location
6400 Shafer CT Ste 300
Rosemont, IL 60018-4929
Mailing address
6400 Shafer CT
Ste 700
Rosemont, IL 60018-4914
Phone (847) 759-9449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364129545001 | Medicaid | IL | |
| 9570 | Other | IL | BCBS |
Other names
- AccentCare Hospice & Palliative Care of Illinois
Other providers in Rosemont, IL
- Macallie Robson
- Alyssa Rojo
- Rosemont School District 78
- Preet Sajnani
- Christina Martin Sams
- Superior Home Health LLC
- Rebecca Tamborski
- Sonam Tantuwaya
- Gregory Jon Taycher
- Alissa M Taylor
All providers in Rosemont, IL · Community Based Hospice Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.