Unicare Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

UNICARE HOSPICE INC

Practice address

105 W 16TH St Ste a
Yuma, AZ 85364-4758

Phone

(928) 248-4110

NPI assigned

Mar 12, 2020

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry Maoocheri

Title

Vice President

Phone

(760) 566-3345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023644887. Details of each certification follow.

• CCN 031733 Hospice · Active · Details

Hospice certification: CCN 031733

Legal name

UNICARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 7, 2020

Last certification

Dec 7, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 29, 2019 in AZ

Enrollment address

105 W 16TH St
Ste a
Yuma, AZ 85364-4724

Listed as

Unicare Hospice IncCCN 031733 · All quality measures

Ownership

For-Profit

Certified

Dec 7, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Uni Care Hospice, Inc

  • Inpatient Hospice
  • San Marcos, CA
  • NPI 1316358930

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Wissam A. Fayad, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Yuma, AZ
  • NPI 1902841810

  Contracted Managing Employee

  CMS ownership
• Uni Care Hospice, Inc

  • Inpatient Hospice
  • San Marcos, CA
  • NPI 1316358930

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Unicare Healthcare Inc

  • Home Health Agency
  • Yuma, AZ
  • NPI 1043846801

  Uni Care Hospice, Inc.

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Wissam A. Fayad, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Yuma, AZ
  • NPI 1902841810

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1023644887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 16TH ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644758",
            "telephone_number": "928-248-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 16TH ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644758",
            "telephone_number": "928-248-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W 16th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853644758",
            "country_code": "US",
            "telephone_number": "928-248-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNICARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MAOOCHERI",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-566-3345"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Danielle Tyree, RNFA
• Melanie-Belle Ballesteros Ullrich, MD
• Derrick Clifton Umphlett, MD
• Unbound Therapeutic Services
• Unicare Healthcare Inc
• Unitys Psychiatry PLLC
• Sara Unruh
• Up2Par PLLC
• Manal Anandkumar Upadhyay, MD
• Viral S Upadhyay, PHARMD

• Community Based Hospice Care Agency in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.