Healthcare Provider Details

I. General information

NPI: 1417744152
Provider Name (Legal Business Name): UNITY CARE GROUP HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 ALLEN RD
WEST PARK FL
33023-5229
US

IV. Provider business mailing address

102 ALLEN RD
WEST PARK FL
33023-5229
US

V. Phone/Fax

Practice location:
  • Phone: 754-232-2409
  • Fax:
Mailing address:
  • Phone: 754-232-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: CYRE ANISE GANDY
Title or Position: OWNER
Credential:
Phone: 754-232-2409