Provider Demographics
NPI:1891764890
Name:UNITY HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:UNITY HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-756-7322
Mailing Address - Street 1:1125 SCHILLING BLVD E STE 101
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7078
Mailing Address - Country:US
Mailing Address - Phone:901-756-7322
Mailing Address - Fax:901-756-7085
Practice Address - Street 1:9035 E SANDIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-3563
Practice Address - Country:US
Practice Address - Phone:662-893-5662
Practice Address - Fax:662-893-5664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS68251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00770532Medicaid
MS000070129OtherBCBS
251567Medicare ID - Type Unspecified