NPIMap

Organization Active NPI

Everest Hospice Inc

  • Community Based Hospice Care Agency
  • Park Ridge, IL
National Provider Identifier
1811637648
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EVEREST HOSPICE INC
Practice address
1580 N Northwest Hwy Ste 213D
Park Ridge, IL 60068-1450
Phone
(224) 392-1562
NPI assigned
Mar 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Mr. Raul Nocete, BSN RN
Title
Manager
Phone
(888) 984-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1580 N Northwest Hwy Ste 213D
Park Ridge, IL 60068-1450

Mailing address

1580 N Northwest Hwy Ste 213D
Park Ridge, IL 60068-1450
Phone (224) 392-1562

Other names 1

  • Everest Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.everesthospice.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417000161 IL Part A Provider - Hospice 0143745638 Practice locations: Park Ridge, IL

Hospice certification: CCN 141749

Legal name
EVEREST HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 21, 2025
Last certification
Nov 21, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 28, 2022 in IL
Enrollment address
1580 N Northwest Hwy
Ste 213D
Park Ridge, IL 60068-1450

National Provider Directory

National Provider Directory

Locations

1580 N Northwest Hwy
Ste 213D
Park Ridge, IL 60068
Phone (224) 392-1562

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Raul Nocete Individual 5% Or Greater Direct Ownership InterestSecretary Mar 28, 2022 33%
Corporate DirectorBoard of Director Mar 28, 2022
Dominic Gabriel Individual 5% Or Greater Direct Ownership InterestPresident Mar 28, 2022 33.5%
W-2 Managing EmployeeAd; Mar 28, 2022
John R Kapoor Individual Contracted Managing EmployeeMD; Aug 2, 2024
Bernard Serrano Individual 5% Or Greater Direct Ownership InterestSecretary Mar 28, 2022 33.5%
Corporate DirectorBoard of Director Mar 28, 2022

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1811637648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 213D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681450",
            "telephone_number": "224-392-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 213D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681450",
            "telephone_number": "224-392-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "NOCETE",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-984-8220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.everesthospice.org",
            "affiliation": "N",
            "endpointDescription": "Everest Hospice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1580 N Northwest Hwy Ste 213D",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Everest Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.