MEDICARE: UNITY FAMILY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency	GF-125402113-0001	NV

General Provider Information

NPI Number	:	1316100845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY FAMILY SERVICES INC

Provider Business Mailing Address
First Line	:	3985 W CHEYENNE AVE
Second Line	:	SUITE 306
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8906
Country	:	US
Telephone Number	:	702-633-7570
Fax Number	:	702-646-5368

Provider Business Practice Location Address
First Line	:	3985 W CHEYENNE AVE
Second Line	:	SUITE 306
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8906
Country	:	US
Telephone Number	:	702-633-7570
Fax Number	:	702-646-5368

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. TAMI VERNETTE BASS
Credential	:	JD
Telephone Number	:	702-349-7331

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	11/01/2010

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Directions to “UNITY FAMILY SERVICES INC ” Practice Location

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