Provider Demographics
NPI:1235438078
Name:UNITY HOSPICE NE, LLC
Entity Type:Organization
Organization Name:UNITY HOSPICE NE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:FOURNIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-756-7322
Mailing Address - Street 1:3085 FOUNTAINSIDE DR
Mailing Address - Street 2:STE 110
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7842
Mailing Address - Country:US
Mailing Address - Phone:901-756-7322
Mailing Address - Fax:901-756-7085
Practice Address - Street 1:3964 GOODMAN RD E
Practice Address - Street 2:STE 112
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-8761
Practice Address - Country:US
Practice Address - Phone:662-893-5662
Practice Address - Fax:662-893-5665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based