Basic Information
Provider Information
NPI: 1659613529
EntityType: 2
ReplacementNPI:  
OrganizationName: UNITY HOSPICE CARE, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1125 SCHILLING BLVD E STE 101
Address2:  
City: COLLIERVILLE
State: TN
PostalCode: 380177078
CountryCode: US
TelephoneNumber: 9017567322
FaxNumber: 9017567085
Practice Location
Address1: 1413 W MAIN ST
Address2:  
City: TUPELO
State: MS
PostalCode: 388013400
CountryCode: US
TelephoneNumber: 6625397010
FaxNumber: 6625397108
Other Information
ProviderEnumerationDate: 03/19/2013
LastUpdateDate: 01/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SHERMAN
AuthorizedOfficialFirstName: PATRICIA
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: PRESIDENT/OWNER
AuthorizedOfficialTelephone: 9017567322
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: RN, MSN
NPICertificationDate: 01/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251G00000X  Y AgenciesHospice Care, Community Based 

No ID Information.


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