NPIMap

Organization Active NPI

SSM Health Businesses

Doing business as SSM Hospice at St. Francis Blue Island

  • Community Based Hospice Care Agency
  • Blue Island, IL
National Provider Identifier
1992770671
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002186 Issued in IL
Legal business name
SSM HEALTH BUSINESSES
Doing business as
SSM Hospice at St. Francis Blue Island
Practice address
13000 Maple Ave
Blue Island, IL 60406-2318
Phone
(708) 385-0372
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Mr. Mike Topolski
Title
Vice President
Phone
(314) 989-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002186 IL Primary

Addresses

Primary practice location

13000 Maple Ave
Blue Island, IL 60406-2318

Mailing address

13000 Maple Ave
Blue Island, IL 60406-2318
Phone (708) 385-0372

Other names 1

  • SSM Hospice at St. Francis Blue Island Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Marys Holts Summit Phar14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member of 1

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

  • SSM Health Businesses

    dba SSM Health at Home Hospice Glen Carbon

    • Community Based Hospice Care Agency
    • Mount Vernon, IL
    • NPI 1093718900

    Member Of

    NPD member

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1992770671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 MAPLE AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062318",
            "telephone_number": "708-385-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 MAPLE AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062318",
            "telephone_number": "708-385-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH BUSINESSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "TOPOLSKI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-989-2528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Hospice at St. Francis Blue Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.