Provider Demographics
NPI:1407471931
Name:LINK HOSPICE LLC
Entity Type:Organization
Organization Name:LINK HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KLAUDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-440-7406
Mailing Address - Street 1:935 N PLUM GROVE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4770
Mailing Address - Country:US
Mailing Address - Phone:847-426-0100
Mailing Address - Fax:
Practice Address - Street 1:935 N PLUM GROVE RD STE B
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4770
Practice Address - Country:US
Practice Address - Phone:847-426-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based