Healthcare Provider Details

I. General information

NPI: 1891012068
Provider Name (Legal Business Name): YOUNITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 04/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 WESSINGTON AVE SUITE 2
GARFIELD NJ
07026-2727
US

IV. Provider business mailing address

245 WESSINGTON AVE SUITE 2
GARFIELD NJ
07026-2727
US

V. Phone/Fax

Practice location:
  • Phone: 973-928-2857
  • Fax: 973-928-2859
Mailing address:
  • Phone: 973-928-2857
  • Fax: 973-928-2859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0140900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberHP0140900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHP0140900
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHP0140900
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHP0140900
License Number StateNJ

VIII. Authorized Official

Name: GEORGE KLINE III
Title or Position: CEO/PRESIDENT
Credential:
Phone: 973-928-2857