Active NPI
Joliet Area Community Hospice Corporation
Doing business as Lightways Hospice and Serious Illness Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Joliet, IL
National Provider Identifier
1780853481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 2000339
- Legal business name
- JOLIET AREA COMMUNITY HOSPICE CORPORATION
- Doing business as
- Lightways Hospice and Serious Illness Care
- Practice address
- 250 Water Stone Cir
Joliet, IL 60431-8313 - Phone
- (815) 740-4104
- Fax
- (815) 740-4107
- NPI assigned
- Feb 27, 2008
- Last updated
- Apr 8, 2025
- 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
- Mrs. Mary K Sheehan
- Title
- Ceo
- Phone
- (815) 740-4104
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Adult Health Nurse Practitioner | 363LA2200X | NU | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 2000339 | IL | Primary |
Addresses
Primary practice location
250 Water Stone Cir
Joliet, IL 60431-8313
Mailing address
250 Water Stone Cir
Joliet, IL 60431-8313
Phone (815) 740-4104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | IL | BCBSIL |
Other names 1
- Lightways Hospice and Serious Illness Care
National Provider Directory
National Provider Directory- Tax ID family
- Joliet Area Community Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lightways Hospice and Serious Illness Care
- Community Based Hospice Care Agency
- Joliet, IL
- NPI 1043212103
Locations
250 Water Stone Cir
Joliet, IL 60431
Phone (815) 740-4104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1780853481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WATER STONE CIR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604318313",
"telephone_number": "815-740-4104",
"fax_number": "815-740-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WATER STONE CIR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604318313",
"telephone_number": "815-740-4104",
"fax_number": "815-740-4107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOLIET AREA COMMUNITY HOSPICE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "815-740-4104",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "IL",
"license": "2000339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "NONE",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lightways Hospice and Serious Illness Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Joliet, IL
- Jillian Irene Johnson
- Mary Lee Johnson, LCPC
- Rukiya Johnson, LCPC
- Joint Care Physical Therapy
- Joliet Area Community Hospice Corporation (Lightways Hospice and Serious Illness Care)
- Joliet Behavioral Center, Inc
- Joliet Cardiology Center SC
- Joliet Center for Clinical Research, Inc
- Joliet Diabetes & Endocrinology Associates Inc
- Joliet Dialysis LLC (Hickory Creek Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.