Provider Demographics
NPI:1477896496
Name:UNITY HOSPICE
Entity Type:Organization
Organization Name:UNITY HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELLERITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-407-4597
Mailing Address - Street 1:1635 N GREENFIELD RD STE 126
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4011
Mailing Address - Country:US
Mailing Address - Phone:480-407-4597
Mailing Address - Fax:602-638-5440
Practice Address - Street 1:1635 N GREENFIELD RD STE 126
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4011
Practice Address - Country:US
Practice Address - Phone:480-405-4597
Practice Address - Fax:602-638-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ=========Medicaid