HAVEN HOSPICE IL LLC
NPI 1790247906
Hospice Care, Community Based in Marshall, IL

Active since April 05, 2019CLIA 14D2167509 · Waiver
1318 N MICHIGAN AVE, MARSHALL, IL 62441(475) 151-5058 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Haven Hospice Il Llc NPPES

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

HAVEN HOSPICE IL LLC (NPI 1790247906) is a healthcare organization registered as a hospice care, community based in Marshall, Illinois and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Patricia Benson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790247906
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHAVEN HOSPICE IL LLC
Location Address1318 N MICHIGAN AVEMarshall, IL 62441-5307
Mailing Address8913 N Prairie Pointe RdPeoria, IL 61615-1577 · (847) 515-1505
Organization SubpartNo
Authorized OfficialPatricia BensonCeo · (847) 515-1505
Enumeration DateApril 5, 2019
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1790247906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1318 N MICHIGAN AVE, Marshall, IL 62441

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2167509

Haven Hospice I L, L L C · Marshall, IL
Active · expires Jun 9, 2027
CLIA Number14D2167509
Laboratory TypeHospice
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorDarrin M. Ray
Laboratory Phone(847) 515-1505
Laboratory LocationHaven Hospice I L, L L C1318 N Michigan Ave, Marshall, IL 62441
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1318 N MICHIGAN AVE
MARSHALL, IL 62441

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 Haven Hospice Il LLC's NPI number?

The NPI number for Haven Hospice Il LLC is 1790247906. It was assigned to this organization in the NPPES registry on April 5, 2019.

Where is Haven Hospice Il LLC located?

Haven Hospice Il LLC is located at 1318 N Michigan Ave, Marshall, IL 62441. The listed phone number is (475) 151-5058.

What is Haven Hospice Il LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Haven Hospice Il LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2167509) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Haven Hospice Il LLC was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.