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General NPI Number Information
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NPI Number | 1285268326
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Entity Type | Organization
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Legal Business Name | ELYSIAN HOSPICE, INC
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 320 E JACKSON ST STE 6
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City | MORTON
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State | IL
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Zip | 61550-1616
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Country | US
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Telephone | 309-699-4715
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Fax | 309-699-4717
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Provider Business Mailing Address
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Address Line | 320 E JACKSON ST STE 6
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City | MORTON
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State | IL
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Zip | 61550-1616
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Country | US
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Telephone | 309-699-4715
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Fax | 309-699-4717
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Authorized Official
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Title or Position | OWNER/CFO
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Name | KIMBERLY W HIXON
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Credential |
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Telephone | 309-699-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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