Organization Active NPI

First Health Hospice LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Oak Brook, IL
National Provider Identifier
1952122442
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
FIRST HEALTH HOSPICE LLC
Practice address
1111 W 22ND St Ste 260
Oak Brook, IL 60523-7408
Phone
(630) 501-0093
Fax
(630) 501-0313
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Jason Laing
Title
Ceo
Phone
(888) 834-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

1111 W 22ND St Ste 260
Oak Brook, IL 60523-7408

Mailing address

1111 W 22ND St Ste 260
Oak Brook, IL 60523-7408
Phone (630) 501-0093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210001038 IL Part B Supplier - Clinic/Group Practice 4880083799 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
First Health Hospice LLC2 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

1111 W 22nd St
Ste 260
Oak Brook, IL 60523
Phone (630) 501-0093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1952122442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 22ND ST STE 260",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605237408",
            "telephone_number": "630-501-0093",
            "fax_number": "630-501-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 22ND ST STE 260",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605237408",
            "telephone_number": "630-501-0093",
            "fax_number": "630-501-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEALTH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "LAING",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-834-2672"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.