Provider Demographics
NPI:1811637648
Name:EVEREST HOSPICE INC
Entity type:Organization
Organization Name:EVEREST HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOCETE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:888-984-8220
Mailing Address - Street 1:1580 N NORTHWEST HWY STE 213D
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1450
Mailing Address - Country:US
Mailing Address - Phone:224-392-1562
Mailing Address - Fax:
Practice Address - Street 1:1580 N NORTHWEST HWY STE 213D
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1450
Practice Address - Country:US
Practice Address - Phone:224-392-1562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based