Haven Hospice Il LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HAVEN HOSPICE IL LLC

Practice address

1318 N Michigan Ave
Marshall, IL 62441-5307

Phone

(475) 151-5058

NPI assigned

Apr 5, 2019

Last updated

Mar 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Benson

Title

Ceo

Phone

(847) 515-1505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790247906. Details of each certification follow.

• CCN 141704 Hospice · Active · Details

Hospice certification: CCN 141704

Legal name

HAVEN HOSPICE IL LLC

Doing business as

HIGHVISTA PRIVATE EQUITY VIII, LP

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 17, 2020

Last certification

Mar 17, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

1318 N Michigan Ave
Marshall, IL 62441-5307

Listed as

Haven Hospice Il, LLCCCN 141704 · All quality measures

Ownership

For-Profit

Certified

Mar 17, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• University of Chicago

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1821048786

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Darrin Ray, MD

  • Family Medicine Physician
  • Gibson City, IL
  • NPI 1679785778

  Contracted Managing Employee

  CMS ownership
• University of Chicago

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1477262046

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• University of Chicago

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1821048786

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ingalls Memorial Hospital

  • Rehabilitation Hospital Unit
  • Harvey, IL
  • NPI 1023105566

  University of Chicago

  CMS ownership
• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686

  University of Chicago

  CMS ownership
• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1508956509

  University of Chicago

  CMS ownership
• Transitions Hospice Central Illinois, LLC

  • Community Based Hospice Care Agency
  • Champaign, IL
  • NPI 1063928315

  Kai Holdings LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC

  CMS ownership
• Transitions Hospice LLC

  • Community Based Hospice Care Agency
  • Elk Grove Village, IL
  • NPI 1063694388

  Aberdeen US Private Equity VIII LP, Kai Holdings LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC, University of Chicago

  CMS ownership
• Transitions Springfield LLC

  • Community Based Hospice Care Agency
  • Springfield, IL
  • NPI 1346828209

  Aberdeen US Private Equity VIII LP, Kai Holdings LLC, Lorient Transitions LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC, University of Chicago

  CMS ownership
• Ucm Home Care

  dba Ingalls Home Hospice

  • Community Based Hospice Care Agency
  • Harvey, IL
  • NPI 1326083395

  University of Chicago

  CMS ownership
• Ucm Home Care

  • Home Health Agency
  • Harvey, IL
  • NPI 1417998865

  University of Chicago

  CMS ownership
• Cardinal Hospice North, LLC

  dba Transitions Hospice

  • Community Based Hospice Care Agency
  • Bay City, MI
  • NPI 1184080111

  Aberdeen US Private Equity VIII LP, Kai Holdings LLC, Lorient Transitions LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC, University of Chicago

  CMS ownership
• Cardinal Hospice South, LLC

  dba Transitions Hospice

  • Community Based Hospice Care Agency
  • Oxford, MI
  • NPI 1053786244

  Aberdeen US Private Equity VIII LP, Kai Holdings LLC, Lorient Transitions LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC, University of Chicago

  CMS ownership
• Transitions Crown Point LLC

  • Community Based Hospice Care Agency
  • Crown Point, IN
  • NPI 1306424262

  Aberdeen US Private Equity VIII LP, Kai Holdings LLC, Lorient Transitions LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC, University of Chicago

  CMS ownership
• Transitions Fort Wayne, LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1699427245

  Aberdeen US Private Equity VIII LP, Kai Holdings LLC, Lorient Transitions LLC, Transitions Acquisition LP, Transitions Intermediate Holdings LLC, University of Chicago

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Faisal Bukhari, MD SC

  • Internal Medicine Physician
  • Sullivan, IL
  • NPI 1376545509

  Hospice

  Care Compare affiliation
• Lucas L Catt, MD

  • Family Medicine Physician
  • Mattoon, IL
  • NPI 1912174970

  Hospice

  Care Compare affiliation
• Gregory Deters, M.D.

  • Family Medicine Physician
  • Mattoon, IL
  • NPI 1497861702

  Hospice

  Care Compare affiliation
• Darrin Ray, MD

  • Family Medicine Physician
  • Gibson City, IL
  • NPI 1679785778

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1790247906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 N MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624415307",
            "telephone_number": "475-151-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOSPICE IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Engledow, CCC-SLP
• Eyes on Main PLLC
• Tabitha Hanson, DMD
• Chelsey Lee Hardiek, PHARMD
• Kelly Sue Hargis
• Darlene C Hildebrand, DMD
• Jacob Hoelscher, PHARMD
• Hospital & Medical Foundation of Paris, Inc. (Horizon Health Medical Equipment)
• Hospital & Medical Foundation of Paris, Inc. (Marshall Specialty Clinic)
• Hospital & Medical Foundation of Paris, Inc. (EZCare - Marshall)

• Community Based Hospice Care Agency in Marshall, IL
• Providers in Marshall, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.