Providence Hospice, also known as Providence Hospice is a hospice care center situated at Tinley Park, Illinois. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Providence Hospice accommodated approx. 197 Medicare beneficiaries whose average age was 88 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 141609. Providence Hospice comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Providence Hospice mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services. Providence Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.
Complete Hospice Profile:
Providence Hospice type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below.
Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN)
141609
Hospice’s Ownership Type:
Non-Profit (01 Voluntary Non-Profit - Church)
Accreditation
UnAccredited
Hospice Address:
18601 N Creek Drive Suite A, Tinley Park, Illinois, 60477
County:
Cook
Phone:
(70-8) -331-0400
Fax:
708-877-4818
CMS Regional Office
Chicago
Medicare Certification:
Medicare certification details of Providence Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
10 Feb, 2003
Current Status:
Active Provider
Latest visit of the Health or LSC survey:
27 Aug, 2020
Status at the time of certification survey:
In Compliance
Latest Certification Type:
Recertification
Certificate Provider:
CMS Regional Office
MAC
Palmetto Hhh C
CBSA Code
16974 (Urban)
Federal Certification Status
Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Providence Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries
197
RHC Days (in %)
100
Episode or Stay Count
198
Total Nursing Minutes
168075 Minutes (2801.25 Hours)
Days of Service
10,523
Average Age of Beneficiary
88 year
Average Risk Score of Beneficiaries
2.37
Total Medicare Payment Amount
$ 1,911,751
Total Medicare Standard Payment Amount
$ 1,843,589
Total Medicare Allowed Payment Amount
$ 1,911,751
Total Charge Amount
$ 2,953,520
Average Hospice Visit Count
Providence Hospice have 3251 skilled nursing visits, 325 social work visits and 2084 Number of home health aide visits provided by the home health agency or hospice.
Beneficiaries by Gender
Providence Hospice rendered hospice services to 32% Male and 68% Female Medicare beneficiaries in a Fiscal year.
Beneficiaries by Race
Providence Hospice provided hospice care to 91% White, 18% not disclosed Medicare beneficiaries in a Fiscal year.
Medicare/Medicaid Eligible Beneficiaries
At Providence Hospice, 17% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.
Beneficiaries with Primary Disease Diagnosis
At Providence Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 14 of Neoplasms & Diseases of the Blood and Blood forming organs, 14 of Endocrine, Nutritional and Metabolic Diseases, 33 of Diseases of the Nervous System, 30 of Diseases of the Circulatory System, 7 of Diseases of the Respiratory System,
Services Provided:
Services available at Providence Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services Available
Provided By
Home Health Aide
Hospice Staff
Counseling
Hospice Staff
Medical Social Services
Hospice Staff
Medical Supply Services
Provided under Arrangement
Nursing Services
Hospice Staff
Occupational Therapy
Provided under Arrangement
Physician Services
Provided under Arrangement
Physical Therapy
Provided under Arrangement
Short Term Inpatient Care
Provided under Arrangement
Speech Pathology Services
Provided under Arrangement
Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers.
Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure Name
Score (in %)
National Average
Treatment Preferences
100.0
98.3
Beliefs/Values Addressed (if desired by the patient)
99.4
93.6
Pain Screening
100.0
93.9
Pain Assessment
100.0
77.7
Dyspnea Screening
100.0
97.3
Dyspnea Treatment
96.9
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
96.3
93.3
Employee Count:
Providence Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services
Employed Count
Volunteer Count
Home Health Aide
2
0
Medical Social Services
1
0
Registered Nurses
7
0
Other Personnel
3
1.5
TOTAL
13
1.5
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name:
Barry Vandergenugten
Position:
Vice President Of Finance
Contact Number:
708-342-8141
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number:
1407855562
NPI Enumeration Date:
20 Jul, 2005
NPI Last Update On:
02 Apr, 2019
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Hospice are as mentioned below.
Specialization
License Number
State
Status
Hospice Care, Community Based
2002251
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2002251
Other
Illinois
Hospice License Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
18601 N Creek Dr, Tinley Park, Illinois
Zip:
60477-6397
Phone Number:
708-342-8100
Fax Number:
708-342-8006
Patients can reach Providence Hospice at 18601 N Creek Drive Suite A, Tinley Park, Illinois or can call to book an appointment on (70-8) -331-0400.