Provider Demographics
NPI:1891229324
Name:UNITED HOSPICE INC
Entity Type:Organization
Organization Name:UNITED HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-779-3989
Mailing Address - Street 1:1420 RENAISSANCE DR STE 209
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1342
Mailing Address - Country:US
Mailing Address - Phone:847-779-3989
Mailing Address - Fax:847-799-0304
Practice Address - Street 1:1420 RENAISSANCE DR STE 209
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1342
Practice Address - Country:US
Practice Address - Phone:847-779-3989
Practice Address - Fax:847-799-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2003149251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based