Unicare Hospice Provider, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

UNICARE HOSPICE PROVIDER, INC.

Practice address

870 N Mountain Ave Ste 208
Upland, CA 91786-4173

Phone

(909) 285-1248

Fax

(909) 552-6908

NPI assigned

Jul 12, 2014

Organization subpart

No

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

Authorized official

Name

Katherine Fong

Title

Cfo

Phone

(909) 285-1248

Specialties & licenses 1

Addresses

Listed as

Unicare Hospice Provider, IncCCN 921766

Ownership

For-Profit

Certified

Dec 12, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1881001741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MOUNTAIN AVE STE 208",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864173",
            "telephone_number": "099-285-1248",
            "fax_number": "909-552-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N MOUNTAIN AVE STE 208",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864173",
            "telephone_number": "909-285-1248",
            "fax_number": "909-552-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE HOSPICE PROVIDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-12",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-285-1248"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Ray Turner, M.D.
• Karen Turner, PT
• Breanna Tyner
• Opal Udenze
• Crystal Ukpong, MS
• United Heart Institute
• Upland Anesthesia Medical Group
• Upland Community Care, Inc (Upland Rehabilitation and Care Center)
• Upland Convalescent Hospital Inc. (Upland Rehabilitation & Care Center)
• Upland Dental Practice

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.