MEDICARE: AFFINITY HOSPICE 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	:	1891418752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY HOSPICE LLC

Provider Business Mailing Address
First Line	:	2720 S RIVER RD STE 132
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4110
Country	:	US
Telephone Number	:	224-357-1101
Fax Number	:	224-357-1104

Provider Business Practice Location Address
First Line	:	2720 S RIVER RD STE 132
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4110
Country	:	US
Telephone Number	:	224-357-1101
Fax Number	:	224-357-1104

Authorized Official
Title or Position	:	CEO
Name	:	JEANETTE J YANG
Credential	:
Telephone Number	:	224-357-1101

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/01/2023

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Directions to “AFFINITY HOSPICE LLC ” Practice Location

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