- Enrollment id
- O20220824003010
- Enrollment state
- IL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1548905474
- Multiple npi flag
- N
- Ccn
- 141728
- Associate id
- 2466836457
- Organization name
- CLEAR PATH HEALTHCARE SERVICES INC
- Doing business as name
- VISIONS HOSPICE
- Incorporation date
- 2020-06-29
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1701 E WOODFIELD RD
- Address line 2
- STE 625
- City
- SCHAUMBURG
- State
- IL
- Zip code
- 601735905