MEDICARE: CARING PROFESSIONALS HOSPICE INC.

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	:	1679322010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING PROFESSIONALS HOSPICE INC.

Provider Business Mailing Address
First Line	:	3458 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3458 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3310
Country	:	US
Telephone Number	:	773-598-8989
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN KIM
Credential	:
Telephone Number	:	773-598-8989

Provider Enumeration Date	:	05/17/2024
Last Update Date	:	05/17/2024

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