Rest Haven Illiana Christian Convalescent Home
Rest Haven Illiana Christian Convalescent Home is a Hospice and Palliative Medicine (Internal Medicine) Physician in Homer Glen, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
14301 Independence WayHomer Glen, IL 60491-7210
Phone: (708) 331-0400
Fax: (708) 877-4818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Based Hospice Care Agency (primary) | Taxonomy 251G00000X · Licence 2002251 (IL) |
|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | Taxonomy 207RH0002X |
Record details
| NPI number | 1407855562 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johanna Zandstra — Vp Of Operations · (708) 342-8100 |
| Other names | Providence Hospice; Providence Hospice |
| NPI enumerated | July 20, 2005 |
| Last updated in NPPES | May 26, 2026 |
| Certification date | May 26, 2026 |
| Mailing address | 14301 Independence Way, Homer Glen, IL 60491-7210 |