Healthcare Provider Details

I. General information

NPI: 1376999557
Provider Name (Legal Business Name): UNITY CARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KAMMERER AVE
SAN JOSE CA
95116-3020
US

IV. Provider business mailing address

1400 PARKMOOR AVE SUITE 115
SAN JOSE CA
95126-3797
US

V. Phone/Fax

Practice location:
  • Phone: 408-971-9822
  • Fax:
Mailing address:
  • Phone: 408-510-3480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDRE CHAPMAN
Title or Position: CEO
Credential:
Phone: 408-971-9822