INGALLS HOME HOSPICE (NPI# 1326083395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326083395 |
| Entity Type | Organization |
| Organization Name | INGALLS HOME HOSPICE |
| Practice Address |
One Ingalls Drive Wyman Gordon Pavilion Harvey IL 60426 |
| Practice Telephone | 7083310226 |
| Practice Fax Number | 7089152749 |
| Mailing Telephone | 7083310226 |
| Mailing Fax Number | 7089152749 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | MR. DAVID LITHGOW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7083310226 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2001030 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVDIDER # | 9530 | 01 |
| Street Address |
ONE INGALLS DRIVE WYMAN GORDON PAVILION |
| City | HARVEY |
| State | IL |
| Zip Code | 60426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434579 | Andrew D Bruggeman | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| 1649799404 | Carmalita Lewis-buchanan | Nurse Practitioner | One Ingalls Drive, Harvey, IL 60426-3558 | 2017-09-13 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1043307580 | Ingalls Memorial Hospital | Psychiatric Unit | One Ingalls Drive, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598775108 | Suresh P Agarwal | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-08-08 |
| 1982628475 | Bryan K Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One Ingalls Drive, West 536, Harvey, IL 60426 | 2006-07-27 |
| 1417998865 | Ingalls Home Care | Home Health | One Ingalls Drive, Wyman Gordon Pavilion, Harvey, IL 60426 | 2006-06-09 |
| 1033184031 | Joseph B Costa | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-22 |
| 1982676987 | John C Heller | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.