Healthcare Provider Details

I. General information

NPI: 1629279161
Provider Name (Legal Business Name): UNITY HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 05/13/2020
Certification Date: 05/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 EAST CAPITOL STREET, NE
WASHINGTON DC
20003
US

IV. Provider business mailing address

1100 NEW JERSEY AVE SE STE 500
WASHINGTON DC
20003-3326
US

V. Phone/Fax

Practice location:
  • Phone: 202-546-0936
  • Fax: 202-544-3783
Mailing address:
  • Phone: 202-715-7900
  • Fax: 202-544-3783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: VINCENT KEANE
Title or Position: PRESIDENT CEO
Credential:
Phone: 202-715-6562