NPIMap

Organization Active NPI

Unity Hospice of Western Illinois, LLC

  • Community Based Hospice Care Agency
  • Rochelle, IL
National Provider Identifier
1740369628
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002517 Issued in IL
Legal business name
UNITY HOSPICE OF WESTERN ILLINOIS, LLC
Practice address
915 N Caron Rd
Rochelle, IL 61068-9649
Phone
(815) 561-8866
Fax
(815) 561-8877
NPI assigned
Nov 3, 2006
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002517 IL Primary

Addresses

Primary practice location

915 N Caron Rd
Rochelle, IL 61068-9649

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
O20051123000602 IL Part A Provider - Hospice 9436179132 Practice locations: Rochelle, IL
O20181105001821 IL Part B Supplier - Clinic/Group Practice 9436179132 Receives reassigned benefits from 11 practitioners
Practice locations: Rochelle, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740369628. Details of each certification follow.

Hospice certification: CCN 141614

Legal name
UNITY HOSPICE OF WESTERN ILLINOIS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 10, 2004
Last certification
Nov 19, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Oct 24, 2005 in IL
Enrollment address
915 N Caron Rd
Rochelle, IL 61068-9649

Care Compare: Hospice

Medicare Care Compare
Listed as
Unity Hospice of Western IllinoisCCN 141614 · All quality measures
Ownership
For-Profit
Certified
Feb 10, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Unity Hospice of Western Illinois LLC2 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

1201 S 7th St
#101
Rochelle, IL 61068
Phone (815) 561-8866

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 W-2 Managing Employee Sep 1, 2010
Eileen Morlan Individual W-2 Managing EmployeeAdministrator Mar 25, 2024
Unity Hospice Management Inc. Organization, Skokie, IL For-profit 5% Or Greater Direct Ownership Interest Oct 24, 2005
Operational/Managerial Control Oct 24, 2005
Erik D Englehart Individual Contracted Managing EmployeeMedical Director Jan 1, 2017
Michael a Klein Individual 5% Or Greater Direct Ownership Interest Oct 24, 2005
Corporate Director Nov 23, 2005

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1740369628",
    "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": "915 N CARON RD",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689649",
            "telephone_number": "815-561-8866",
            "fax_number": "815-561-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HOSPICE OF WESTERN ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICAEL",
        "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": "2002517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

Verify at the official NPI Registry.