NPIMap

Organization Active NPI

Unity Hospice GSL, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
National Provider Identifier
1114220043
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITY HOSPICE GSL, LLC
Practice address
6406 Wise Ave
Saint Louis, MO 63139-3315
Phone
(314) 645-8648
Fax
(314) 645-8670
NPI assigned
Dec 15, 2010
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Mr. Benjamin Klein
Title
Office Manager
Phone
(847) 982-1800

Specialties & licenses 1

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

Addresses

Primary practice location

6406 Wise Ave
Saint Louis, MO 63139-3315

Mailing address

4101 Main St
Skokie, IL 60076-2753
Phone (847) 982-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110228000198 MO Part A Provider - Hospice 6406037274 Practice locations: Saint Louis, MO
O20190517002117 MO Part B Supplier - Clinic/Group Practice 6406037274 Receives reassigned benefits from 11 practitioners
Practice locations: Saint Louis, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114220043. Details of each certification follow.

Hospice certification: CCN 261640

Legal name
UNITY HOSPICE GSL LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 2, 2011
Last certification
Jan 13, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Nov 22, 2010 in IL
Enrollment address
6406 Wise Ave
Saint Louis, MO 63139-3315

Care Compare: Hospice

Medicare Care Compare
Listed as
Unity Hospice GSL, LLCCCN 261640 · All quality measures
Ownership
For-Profit
Certified
Dec 2, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Unity Hospice GSL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Eli Klein Individual Corporate OfficerCfo Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Unity Hospice Management Inc. Organization, Skokie, IL For-profit 5% Or Greater Direct Ownership Interest Nov 5, 2010 100%
Operational/Managerial Control Nov 5, 2010 100%
Michael a Klein Individual 5% Or Greater Direct Ownership Interest Jan 1, 2019
Corporate OfficerPresident Nov 5, 2010
Alan Swidler Individual W-2 Managing EmployeeAdministrator Nov 13, 2017
Jonathan J Reed Individual Contracted Managing EmployeeMedical Director Mar 16, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1114220043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762753",
            "telephone_number": "847-982-1800",
            "fax_number": "847-982-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 WISE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393315",
            "telephone_number": "314-645-8648",
            "fax_number": "314-645-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HOSPICE GSL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-982-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.