Healthcare Provider Details

I. General information

NPI: 1629791728
Provider Name (Legal Business Name): CENTURION HOSPICE & PALLIATIVE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 JORIE BLVD STE 355
OAK BROOK IL
60523-4439
US

IV. Provider business mailing address

1100 JORIE BLVD STE 355
OAK BROOK IL
60523-4439
US

V. Phone/Fax

Practice location:
  • Phone: 224-567-8810
  • Fax: 224-567-8807
Mailing address:
  • Phone: 224-567-8810
  • Fax: 224-567-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MIGUEL PANGILINAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 872-210-9823