Organization Active NPI

Unity Hospice of Greater St Louis LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Collinsville, IL
National Provider Identifier
1558040154
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
UNITY HOSPICE OF GREATER ST LOUIS LLC
Practice address
1604 Eastport Plaza Dr Ste 102
Collinsville, IL 62234-6133
Phone
(847) 982-1800
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Eli Klein
Title
Cfo
Phone
(847) 982-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

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

Mailing address

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

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1558040154",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 EASTPORT PLAZA DR STE 102",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346133",
            "telephone_number": "847-982-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HOSPICE OF GREATER ST LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-982-1800"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.