Provider Demographics
NPI:1114220043
Name:UNITY HOSPICE GSL, LLC
Entity Type:Organization
Organization Name:UNITY HOSPICE GSL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-982-1800
Mailing Address - Street 1:4101 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2753
Mailing Address - Country:US
Mailing Address - Phone:847-982-1800
Mailing Address - Fax:847-982-1801
Practice Address - Street 1:6406 WISE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3315
Practice Address - Country:US
Practice Address - Phone:314-645-8648
Practice Address - Fax:314-645-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based