Provider Demographics
NPI:1790348555
Name:HOSPICE OF AMERICA, INC.
Entity Type:Organization
Organization Name:HOSPICE OF AMERICA, INC.
Other - Org Name:HARBOR LIGHT HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-682-3871
Mailing Address - Street 1:1N131 COUNTY FARM RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-2000
Mailing Address - Country:US
Mailing Address - Phone:630-682-3871
Mailing Address - Fax:630-682-4492
Practice Address - Street 1:1N131 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2000
Practice Address - Country:US
Practice Address - Phone:630-682-3871
Practice Address - Fax:630-682-4492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center