Healthcare Provider Details

I. General information

NPI: 1447977392
Provider Name (Legal Business Name): UNITY HOSPICE OF KANSAS CITY KANSAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 W 110TH ST STE 205B2
OVERLAND PARK KS
66211-1898
US

IV. Provider business mailing address

4101 MAIN ST
SKOKIE IL
60076-2753
US

V. Phone/Fax

Practice location:
  • Phone: 847-982-1800
  • Fax: 847-982-1801
Mailing address:
  • Phone: 847-982-1800
  • Fax: 847-982-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL KLEIN
Title or Position: PRESIDENT
Credential:
Phone: 847-982-1800