UNITY HOSPICE OF GREATER ST LOUIS LLC NPI 1245319367

NPI Information

NPI: 1245319367
Provider Name: UNITY HOSPICE OF GREATER ST LOUIS LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 14D2201468

Address:
1604 EASTPORT PLAZA DR
SUITE 102
COLLINSVILLE, IL
ZIP 62234
Phone: (618) 346-1111
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UNITY HOSPICE OF GREATER ST LOUIS LLC is a hospice care community based in Collinsville, IL. UNITY HOSPICE OF GREATER ST LOUIS LLC NPI is 1245319367. The provider is registered as an organization entity type.

The provider's business location address is:

1604 EASTPORT PLAZA DR
SUITE 102
COLLINSVILLE, IL
ZIP 62234-133
Phone: (618) 346-1111
Fax: (618) 346-7777

The provider's authorized official is Michael Klein .
The authorized official title is President and has the following contact phone number (847) 982-1800.

The CLIA number assigned to this NPI record is 14D2201468 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 3/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		2002533	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	141597	MEDICARE ID-TYPE UNSPECIFIED
2	=========001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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