| NPI | 1043212103 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-06-02 |
| Last Updated | 2024-07-03 |
| Authorized Official | Mary Kay Sheehan CEO Phone: 8157404104 |
| Mailing Address | 250 Water Stone Cir Joliet, IL 60431-8313 United States Phone: (815) 740-4104 | Fax: (815) 740-4107 📍 View Map |
| Primary Practice Address | 250 Water Stone Cir Joliet, IL 60431-8313 United States Phone: (815) 740-4104 | Fax: (815) 740-4107 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 0004423721 | Aetna |
| Other (non-Medicare) | IL | 103501032395 | Humana |
| Other (non-Medicare) | — | 9518 | BCBS of IL |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 251G00000X – Hospice Care, Community Based | IL | 0722000339 |
| No | 315D00000X – Hospice, Inpatient | IL | 0722000340 |
| No | 363L00000X – Nurse Practitioner | — | — |
| No | 385H00000X – Respite Care | — | — |
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About NPI 1043212103
Joliet Area Community Hospice Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1043212103. The primary specialty listed is Hospice Care, Community Based. The organization is located in Joliet, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043212103?
NPI 1043212103 belongs to Joliet Area Community Hospice Corporation, a Hospice Care, Community Based in Joliet, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043212103 active?
The current status of NPI 1043212103 in the NPPES registry is Active. The record was last updated on 2024-07-03.
What specialty is NPI 1043212103?
NPI 1043212103 is classified under the taxonomy Hospice Care, Community Based. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043212103?
You can verify NPI 1043212103 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043212103?
The primary practice address on file for NPI 1043212103 is 250 Water Stone Cir, Joliet, IL 60431-8313. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043212103 issued?
NPI 1043212103 was first issued (enumerated) on 2005-06-02. The NPPES record was last updated on 2024-07-03.
Practice Location Map
Joliet Area Community Hospice Corporation is located at 250 Water Stone Cir, Joliet, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Joliet Area Community Hospice Corporation. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043212103. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Hospice Care, Community Based | 0722000339 | IL |
| Hospice, Inpatient | 0722000340 | IL |