Healthcare Provider Details

I. General information

NPI: 1063564003
Provider Name (Legal Business Name): UNITY HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 FAIRWAY DR SUITE
FAYETTEVILLE NC
28305-5571
US

IV. Provider business mailing address

211 FAIRWAY DR SUITE
FAYETTEVILLE NC
28305-5571
US

V. Phone/Fax

Practice location:
  • Phone: 910-864-1799
  • Fax: 910-864-9016
Mailing address:
  • Phone: 910-864-1799
  • Fax: 910-864-9016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3637
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BRENDA MCLEAN
Title or Position: DIRECTOR
Credential:
Phone: 910-864-1799