Active NPI
Hospice of America, Inc.
- Clinic/Center
- Winfield, IL
National Provider Identifier
1790348555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HOSPICE OF AMERICA, INC.
- Practice address
- 1N131 County Farm Rd
Winfield, IL 60190-2000 - Phone
- (630) 682-3871
- Fax
- (630) 682-4492
- NPI assigned
- Apr 17, 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
- Matthew Lowe
- Title
- Cfo
- Phone
- (630) 682-3871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1N131 County Farm Rd
Winfield, IL 60190-2000
Mailing address
1N131 County Farm Rd
Winfield, IL 60190-2000
Phone (630) 682-3871
Other practice location 1
1865 N Henderson St Ste 10
Galesburg, IL 61401-1377
Phone (309) 343-3030
Other practice location 2
332 W Marion Ave
Forsyth, IL 62535-1018
Phone (217) 875-4395
Other practice location 3
300 N Main St Unit C
East Peoria, IL 61611-2016
Phone (309) 698-3060
Other names 1
- Harbor Light Hospice
National Provider Directory
National Provider DirectoryLocations
300 N Main St
Unit C
East Peoria, IL 61611
Phone (309) 698-3060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558569600000",
"number": "1790348555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1N131 COUNTY FARM RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601902000",
"telephone_number": "630-682-3871",
"fax_number": "630-682-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1N131 COUNTY FARM RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601902000",
"telephone_number": "630-682-3871",
"fax_number": "630-682-4492"
}
],
"practiceLocations": [
{
"address_1": "1865 N Henderson St Ste 10",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614011377",
"country_code": "US",
"telephone_number": "309-343-3030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "332 W Marion Ave",
"address_purpose": "LOCATION",
"city": "Forsyth",
"state": "IL",
"postal_code": "625351018",
"country_code": "US",
"telephone_number": "217-875-4395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N Main St Unit C",
"address_purpose": "LOCATION",
"city": "East Peoria",
"state": "IL",
"postal_code": "616112016",
"country_code": "US",
"telephone_number": "309-698-3060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOSPICE OF AMERICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-17",
"last_updated": "2019-05-23",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "630-682-3871"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Light Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harbor Light Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.