| Organization Name: | OMEGA HOSPICE & PALLIATIVE CARE, LLC |
| NPI Number: | 1063615920 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD LEE OLLER (ADMINISTRATOR) |
| Mailing Address: | 1717 Howard St Evanston |
| State: | IL US |
| Postal Code: | 602023735 |
| Phone Number: | 8474259089 |
| Fax Number: | 8474259091 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2002590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |