MEDICARE: UNITY HOSPICE AND HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1801832266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HOSPICE AND HEALTH SERVICES

Provider Business Mailing Address
First Line	:	2831 CAMINO DEL RIO S
Second Line	:	SUITE 212
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3802
Country	:	US
Telephone Number	:	619-291-1832
Fax Number	:	619-291-1832

Provider Business Practice Location Address
First Line	:	2831 CAMINO DEL RIO S
Second Line	:	SUITE 212
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3802
Country	:	US
Telephone Number	:	619-291-1832
Fax Number	:	619-291-1832

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROMEO DACONES
Credential	:
Telephone Number	:	619-410-1648

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/22/2020

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