Active NPI
Unity Hospice of Greater St Louis LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Collinsville, IL
National Provider Identifier
1558040154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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 Sil
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Collinsville, IL
- NPI 1245319367
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1366088734
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.