Active NPI
Unity Hospice LLC
- Community Based Hospice Care Agency
- Durham, NH
National Provider Identifier
1023722790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Sep 1, 2022 in NH
- Enrollment address
- 55 Briggs Way
Durham, NH 03824
Care Compare: Hospice
Medicare Care Compare- Listed as
- Unity Hospice, LLC
- Certified
- Nov 30, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| John Randolph | 5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 100% |
| Corporate Officer | Sep 1, 2022 | 100% | |
| W-2 Managing Employee | 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
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- Samantha Tavares
- The Right Mind - Psychiatric Services
- Tye Callan Thompson, CTRS/L
- Unh Health Service Pharmacy
- University of New Hampshire
- University of New Hampshire Counseling Center
- University Ssytem of New Hampshire
- University System of New Hampshire
- University System of New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.