Organization Active NPI

Unity Hospice LLC

  • Community Based Hospice Care Agency
  • Durham, NH
National Provider Identifier
1023722790
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITY HOSPICE LLC
Practice address
Unity Hospice LLC
55 Briggs Way Unit O
Durham, NH 03824
Phone
(603) 397-5915
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
John E. Randolph
Title
Owner
Phone
(603) 834-2317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

Unity Hospice LLC
55 Briggs Way Unit O
Durham, NH 03824

Mailing address

Unity Hospice LLC
55 Briggs Way Unit O
Durham, NH 03824
Phone (603) 397-5915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230308001473 NH Part A Provider - Hospice 9739552944 Practice locations: Durham, NH

Hospice certification: CCN 301539

Legal name
UNITY HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 30, 2023
Last certification
Oct 12, 2023
Organization structure
LLCProprietary
Incorporated
Sep 1, 2022 in NH
Enrollment address
55 Briggs Way
Durham, NH 03824

Care Compare: Hospice

Medicare Care Compare
Listed as
Unity Hospice, LLCCCN 301539
Certified
Nov 30, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
John Randolph Individual 5% Or Greater Indirect Ownership InterestCeo Sep 1, 2022 100%
Corporate OfficerCeo Sep 1, 2022 100%
W-2 Managing EmployeeCeo Sep 1, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1023722790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNITY HOSPICE LLC",
            "address_2": "55 BRIGGS WAY UNIT O",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "03824",
            "telephone_number": "603-397-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITY HOSPICE LLC",
            "address_2": "55 BRIGGS WAY UNIT O",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "03824",
            "telephone_number": "603-397-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-834-2317"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

Verify at the official NPI Registry.