Provider Demographics
NPI:1629791728
Name:CENTURION HOSPICE & PALLIATIVE CARE, INC
Entity Type:Organization
Organization Name:CENTURION HOSPICE & PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MUHAMMAD
Authorized Official - Last Name:MONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-220-4022
Mailing Address - Street 1:2720 S RIVER RD STE 219
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4111
Mailing Address - Country:US
Mailing Address - Phone:224-567-8810
Mailing Address - Fax:224-567-8807
Practice Address - Street 1:2720 S RIVER RD STE 219
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4111
Practice Address - Country:US
Practice Address - Phone:224-567-8810
Practice Address - Fax:224-567-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based