Healthcare Provider Details

I. General information

NPI: 1932983988
Provider Name (Legal Business Name): UNITY HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 COLUMBIA ST APT 301
BANGOR ME
04401-6338
US

IV. Provider business mailing address

499 BROADWAY/ PMB 364
BANGOR ME
04401
US

V. Phone/Fax

Practice location:
  • Phone: 207-888-7646
  • Fax:
Mailing address:
  • Phone: 207-888-7646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MANOACH BIZUMUREMYI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 207-888-7646