Active NPI
Lion Heart, Inc
- Community Based Hospice Care Agency
- Hazel Crest, IL
National Provider Identifier
1760037519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LION HEART, INC
- Practice address
- 16901 Dixie Hwy Ste B
Hazel Crest, IL 60429-1340 - Phone
- (708) 825-1454
- Fax
- (708) 825-1034
- NPI assigned
- Aug 8, 2019
- Last updated
- Aug 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Nicole Moore
- Title
- President
- Phone
- (708) 825-1454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
16901 Dixie Hwy Ste B
Hazel Crest, IL 60429-1340
Mailing address
16901 Dixie Hwy Ste B
Hazel Crest, IL 60429-1340
Phone (708) 825-1454
National Provider Directory
National Provider DirectoryLocations
16901 Dixie Hwy
Ste B
Hazel Crest, IL 60429
Phone (708) 825-1454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565222400000",
"number": "1760037519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16901 DIXIE HWY STE B",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291340",
"telephone_number": "708-825-1454",
"fax_number": "708-825-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 DIXIE HWY STE B",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291340",
"telephone_number": "708-825-1454",
"fax_number": "708-825-1034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LION HEART, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-825-1454"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.