MEDICARE: TRADITIONS HOSPICE OF HARWOOD HEIGHTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1366118473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRADITIONS HOSPICE OF HARWOOD HEIGHTS, LLC

Provider Business Mailing Address
First Line	:	150 4TH AVE N STE 2300
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37219-2466
Country	:	US
Telephone Number	:	979-704-6457
Fax Number	:

Provider Business Practice Location Address
First Line	:	7444 W WILSON AVE STE 102
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4500
Country	:	US
Telephone Number	:	847-885-1818
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DAVID KLEMENTZ
Credential	:
Telephone Number	:	979-704-6547

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	09/21/2023

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