Organization Name: | COMMUNITY HOSPICES OF AMERICA, LLC |
NPI Number: | 1063514800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY JAMES (CFO) |
Mailing Address: | 755 N Henderson Street Galesburg |
State: | IL US |
Postal Code: | 614012515 |
Phone Number: | 3093423007 |
Fax Number: | 3093426973 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |