Healthcare Provider Details

I. General information

NPI: 1124202122
Provider Name (Legal Business Name): UNITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11279 DEEP BRANCH RD
MAXTON NC
28364
US

IV. Provider business mailing address

PO BOX 450
PEMBROKE NC
28372-0450
US

V. Phone/Fax

Practice location:
  • Phone: 910-522-5254
  • Fax: 910-522-5284
Mailing address:
  • Phone: 910-522-5254
  • Fax: 910-522-5284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON BURNS
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 910-522-5254