MEDICARE: HOSPICE OF AMERICA, 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	2001428	IL

General Provider Information

NPI Number	:	1013910124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	1N131 COUNTY FARM RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-2000
Country	:	US
Telephone Number	:	630-682-3871
Fax Number	:

Provider Business Practice Location Address
First Line	:	1N131 COUNTY FARM RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-2000
Country	:	US
Telephone Number	:	630-682-3871
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. MATTHEW LOWE
Credential	:	CPA
Telephone Number	:	630-682-3871

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/05/2018

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