NPIMap

Organization Active NPI

Unity Hospice of Greater St Louis LLC

  • Community Based Hospice Care Agency
  • Collinsville, IL
National Provider Identifier
1245319367
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002533 Issued in IL
Legal business name
UNITY HOSPICE OF GREATER ST LOUIS LLC
Practice address
1604 Eastport Plaza Dr
Suite 102
Collinsville, IL 62234-6133
Phone
(618) 346-1111
Fax
(618) 346-7777
NPI assigned
Nov 2, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Michael Klein
Title
President
Phone
(847) 982-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002533 IL Primary

Addresses

Primary practice location

1604 Eastport Plaza Dr
Suite 102
Collinsville, IL 62234-6133

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 IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090721000089 IL Part A Provider - Hospice 0446260962 Practice locations: Collinsville, IL
O20190501000720 IL Part B Supplier - Clinic/Group Practice 0446260962 Receives reassigned benefits from 9 practitioners
Practice locations: Collinsville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245319367. Details of each certification follow.

Hospice certification: CCN 141597

Legal name
UNITY HOSPICE OF GREATER ST. LOUIS, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 1, 1998
Last certification
Jan 15, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 24, 2005 in IL
Enrollment address
1604 Easport Plaza Drive
Suite 102
Collinsville, IL 62234-6133

Care Compare: Hospice

Medicare Care Compare
Listed as
Unity Hospice of Greater St LouisCCN 141597 · All quality measures
Ownership
For-Profit
Certified
Jan 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Unity Hospice of Greater Sil2 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.

Locations

907 N Bluff Rd
Ste 3
Collinsville, IL 62234
Phone (618) 346-1111

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
Syed K Hussain Individual Contracted Managing EmployeeMedical Director Nov 15, 2023
Eli Klein Individual W-2 Managing Employee Jan 1, 2022
Unity Hospice Management Inc. Organization, Skokie, IL For-profit 5% Or Greater Direct Ownership Interest May 13, 2009
Michael a Klein Individual 5% Or Greater Direct Ownership Interest May 13, 2009
Corporate Director May 13, 2009
W-2 Managing Employee Apr 16, 2013
Alan Swidler Individual W-2 Managing EmployeeAdministrator Nov 13, 2017

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 10

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 5

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1245319367",
    "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": "1604 EASTPORT PLAZA DR",
            "address_2": "SUITE 102",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346133",
            "telephone_number": "618-346-1111",
            "fax_number": "618-346-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HOSPICE OF GREATER ST LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-982-1800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.