Provider Demographics
NPI:1740888510
Name:FAMILY PARAMOUNT HOSPICE LLC
Entity type:Organization
Organization Name:FAMILY PARAMOUNT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELUOLISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-452-1199
Mailing Address - Street 1:800 W 5TH AVE STE 203B
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4931
Mailing Address - Country:US
Mailing Address - Phone:331-814-3137
Mailing Address - Fax:
Practice Address - Street 1:800 W 5TH AVE STE 203B
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4931
Practice Address - Country:US
Practice Address - Phone:331-814-3137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based