Healthcare Provider Details

I. General information

NPI: 1902733363
Provider Name (Legal Business Name): UNITYNEST COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 GOTT ST
ANN ARBOR MI
48103-3153
US

IV. Provider business mailing address

1017 GOTT ST
ANN ARBOR MI
48103-3153
US

V. Phone/Fax

Practice location:
  • Phone: 734-330-1067
  • Fax:
Mailing address:
  • Phone: 734-330-1067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: BRENDA MALCOLM
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 734-330-1067