1811935240 NPI number — HOSPICE OF KANKAKEE VALLEY, INC.

Table of content: (NPI 1811935240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811935240 NPI number — HOSPICE OF KANKAKEE VALLEY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPICE OF KANKAKEE VALLEY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811935240
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
482 MAIN ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOURBONNAIS
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60914-2331
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-939-4141
Provider Business Mailing Address Fax Number:
815-936-3375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
482 MAIN ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOURBONNAIS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60914-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-939-4141
Provider Business Practice Location Address Fax Number:
815-936-3375
Provider Enumeration Date:
06/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
K
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
815-939-4141

Provider Taxonomy Codes

  • Taxonomy code: 207QH0002X , with the licence number:  036-099237 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 2000420 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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