Organization Active NPI

Willow Branch Hospice, LLC

  • Community Based Hospice Care Agency
  • Chicago, IL
National Provider Identifier
1831903723
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WILLOW BRANCH HOSPICE, LLC
Practice address
5333 N Sheridan Rd
Chicago, IL 60640-7371
Phone
(872) 351-4991
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Jon Deluca
Title
President
Phone
(872) 351-4991

Specialties & licenses 1

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

Addresses

Primary practice location

5333 N Sheridan Rd
Chicago, IL 60640-7371

Mailing address

5333 N Sheridan Rd
Chicago, IL 60640-7371

Other names 1

  • Willow Branch Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250917003554 IL Part A Provider - Hospice 0042714693 Practice locations: Chicago, IL

Hospice certification: CCN 141748

Legal name
WILLOW BRANCH HOSPICE, LLC
Doing business as
WILLOW BRANCH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 16, 2025
Last certification
Oct 16, 2025
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
5333 N Sheridan Rd
Ste 300
Chicago, IL 60640-7371

Care Compare: Hospice

Medicare Care Compare
Listed as
Willow Branch Hospice, LLCCCN 141748
Certified
Oct 16, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5333 N Sheridan Rd
Ste 300
Chicago, IL 60640
Phone (872) 351-4991

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Theodore O'Brien Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 12.5%
Justin Robins Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 12.5%
Jerrold Howard Frumm Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 12.5%
Melissa Weber Individual W-2 Managing EmployeeAd;Hospice Administrator May 7, 2025 50%
Stephen James Levy Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 10%
Corporate DirectorSecretary Oct 7, 2024
Chirag Patel Individual Contracted Managing EmployeeMD; May 7, 2025 50%
Megan Scully Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 6.25%
Corporate DirectorVice President/Treasurer Oct 7, 2024 50%
Jon a Deluca Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 12.5%
Corporate DirectorPresident Oct 7, 2024 25%
Janine Witte Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 10%
Jennifer Kleckner Individual 5% Or Greater Direct Ownership Interest Oct 7, 2024 10%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1831903723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407371",
            "telephone_number": "872-351-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BRANCH HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "872-351-4991"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Branch Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.