Healthcare Provider Details

I. General information

NPI: 1477445419
Provider Name (Legal Business Name): UNITY HAVEN GROUP HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 BERKELEY RD
ORANGE NJ
07050-2110
US

IV. Provider business mailing address

346 BERKELEY RD
ORANGE NJ
07050-2110
US

V. Phone/Fax

Practice location:
  • Phone: 347-469-3057
  • Fax:
Mailing address:
  • Phone: 347-469-3057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN E REMY
Title or Position: ADMINISTER/MANAGER
Credential: RN
Phone: 347-469-3057