GREAT LAKES CARING HOSPICE C IL, LLC (NPI# 1215391065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215391065 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES CARING HOSPICE C IL, LLC |
| Other Organization Name | ELARA CARING VII |
| Practice Address |
3085 Stevenson Dr Ste 200a Springfield IL 62703-4440 |
| Mailing Address |
14295 Midway Rd Ste 400 Addison TX 75001-3678 |
| Practice Telephone | 2177184889 |
| Practice Fax Number | 2176792076 |
| Mailing Telephone | 9724045700 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | DEBRA MILLER (VP OF REGULATORY) |
| Authorized Official Telephone | 9035377612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Elara Caring VII | Doing Business As Name - Organization |
| Great Lakes Caring | Doing Business As Name - Organization |
| Great Lakes Caring, a Part of the Elara Caring Network | Doing Business As Name - Organization |
| Street Address |
3085 STEVENSON DR STE 200A |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1811393564 | Loving Peace Hospice, Inc. | Hospice Care, Community Based | 2815 Old Jacksonville Rd Ste 202, Springfield, IL 62704-6419 | 2014-11-07 |
| 1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
| 1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
| 1720255284 | Good Shepherd Hospice of Springfield, LLC | Hospice Care, Community Based | 3250 S National Ave, Springfield, MO 65807-7303 | 2008-05-14 |
| 1710159355 | Omega Health Care of Southwest Missouri Inc | Hospice Care, Community Based | 2041 S Stewart Ave, Springfield, MO 65804-2522 | 2008-03-24 |
| 1083787840 | Southeast Colorado Hospital District | Hospice Care, Community Based | 200 E 10th Ave, Springfield, CO 81073-1621 | 2006-11-17 |
| 1699850180 | Northcrest Medical Center | Hospice Care, Community Based | 101e Mooreland Drive, Springfield, TN 37172-3974 | 2006-10-25 |
| 1366450504 | Hospice & Palliative Care Of | Hospice Care, Community Based | 2432 East Madrid Ave, Springfield, MO 65804 | 2006-08-04 |
| 1578500823 | Southerncare Inc | Hospice Care, Community Based | 777 E Battlefield St, Ste 104a, Springfield, MO 65807-4807 | 2006-06-02 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on GREAT LAKES CARING HOSPICE C IL, LLC.
| 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.