MEDICARE: YOUNITY, LLC

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	251F00000X	Home Infusion Agency	HP0140900	NJ
2	251G00000X	Community Based Hospice Care Agency	HP0140900	NJ
3	251J00000X	Nursing Care Agency	HP0140900	NJ
4	253Z00000X	In Home Supportive Care Agency	HP0140900	NJ
5	251E00000X	Home Health Agency	HP0140900	NJ

General Provider Information

NPI Number	:	1891012068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNITY, LLC

Provider Business Mailing Address
First Line	:	245 WESSINGTON AVE
Second Line	:	SUITE 2
City	:	GARFIELD
State	:	NJ
Zip	:	07026-2727
Country	:	US
Telephone Number	:	973-928-2857
Fax Number	:	973-928-2859

Provider Business Practice Location Address
First Line	:	245 WESSINGTON AVE
Second Line	:	SUITE 2
City	:	GARFIELD
State	:	NJ
Zip	:	07026-2727
Country	:	US
Telephone Number	:	973-928-2857
Fax Number	:	973-928-2859

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	GEORGE KLINE III
Credential	:
Telephone Number	:	973-928-2857

Provider Enumeration Date	:	04/28/2010
Last Update Date	:	04/28/2010

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Directions to “YOUNITY, LLC ” Practice Location

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