HOSPICE OF KANKAKEE VALLEY PALLIATIVE CLINIC
NPI 1104906767
Hospice, Inpatient in Bourbonnais, IL

Active since October 17, 2006
482 MAIN STREET NW, BOURBONNAIS, IL 60914(815) 936-3370(815) 936-3375 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hospice Of Kankakee Valley Palliative Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOSPICE OF KANKAKEE VALLEY PALLIATIVE CLINIC (NPI 1104906767) is a healthcare organization registered as a hospice, inpatient in Bourbonnais, Illinois and active in the NPI registry since October 2006. The organization lists Dorothea M. Lagesse, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104906767
Entity TypeOrganization
Primary Taxonomy315D00000X
Legal Business NameHOSPICE OF KANKAKEE VALLEY PALLIATIVE CLINIC
Location Address482 MAIN STREET NWBourbonnais, IL 60914-2331
Mailing Address482 Main Street NwBourbonnais, IL 60914-2331 · (815) 936-3370 · Fax (815) 936-3375
Fax(815) 936-3375
Organization SubpartNo
Authorized OfficialDorothea M. LagesseExecutive Director · (815) 936-3370
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1104906767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice, InpatientNursing & Custodial Care Facilities
Taxonomy Code315D00000X
License Licensed in IL · 2000420
Definition
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
482 MAIN STREET NW, Bourbonnais, IL 60914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hospice Of Kankakee Valley Palliative Clinic's NPI number?

The NPI number for Hospice Of Kankakee Valley Palliative Clinic is 1104906767. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Hospice Of Kankakee Valley Palliative Clinic located?

Hospice Of Kankakee Valley Palliative Clinic is located at 482 Main Street NW, Bourbonnais, IL 60914. The listed phone number is (815) 936-3370.

What is Hospice Of Kankakee Valley Palliative Clinic's specialty?

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

When was this NPI record last updated?

The NPPES record for Hospice Of Kankakee Valley Palliative Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.