- Enrollment id
- O20050609000251
- Enrollment state
- IL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1700889656
- Multiple npi flag
- N
- Ccn
- 141582
- Associate id
- 4880503549
- Organization name
- SEASONS HOSPICE, LLC
- Doing business as name
- ACCENTCARE HOSPICE & PALLIATIVE CARE OF ILLINOIS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6400 SHAFER CT
- Address line 2
- STE 300
- City
- ROSEMONT
- State
- IL
- Zip code
- 600184929