Provider Demographics
NPI:1578258000
Name:LUXE HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:LUXE HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHUPARAMBIL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:847-372-5920
Mailing Address - Street 1:2340 S RIVER RD STE 411C
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-3213
Mailing Address - Country:US
Mailing Address - Phone:847-372-5920
Mailing Address - Fax:847-588-1147
Practice Address - Street 1:2340 S RIVER RD STE 411C
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-3213
Practice Address - Country:US
Practice Address - Phone:847-372-5920
Practice Address - Fax:847-588-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based