Organization 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
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
2000339 Issued in IL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherILBCBSIL

Other names 1

  • Lightways Hospice and Serious Illness Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joliet Area Community Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

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.

Verify at the official NPI Registry.