United Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2003149 Issued in IL

Legal business name

UNITED HOSPICE INC

Practice address

1420 Renaissance Dr Ste 209
Park Ridge, IL 60068-1342

Phone

(847) 779-3989

Fax

(847) 799-0304

NPI assigned

Apr 11, 2017

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tori F Garland

Title

Administrator

Phone

(847) 779-3989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891229324. Details of each certification follow.

• CCN 141697 Hospice · Active · Details

Hospice certification: CCN 141697

Legal name

UNITED HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 16, 2018

Last certification

Apr 16, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 3, 2016 in IL

Enrollment address

1420 Renaissance Dr
Ste 209
Park Ridge, IL 60068-1342

Listed as

United Hospice, IncCCN 141697 · All quality measures

Ownership

For-Profit

Certified

Apr 16, 2018

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

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.

• Solomon R Katta, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1265668750
  Medicare reassignment NPD
• Neelu Nehls

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1528451424
  NPD

Affiliated clinicians 2

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

• Solomon R Katta, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1265668750

  Hospice

  Care Compare affiliation
• Thomas L. Michalsen, D.O.

  • General Practice Physician
  • Kirkland, IL
  • NPI 1114947876

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1891229324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 209",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681342",
            "telephone_number": "847-779-3989",
            "fax_number": "847-799-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 209",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681342",
            "telephone_number": "847-779-3989",
            "fax_number": "847-799-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-779-3989"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2003149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.