MEDICARE: UNITY HAVEN GROUP HOLDINGS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	385H00000X	Respite Care
3	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1477445419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HAVEN GROUP HOLDINGS LLC

Provider Business Mailing Address
First Line	:	346 BERKELEY RD
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-2110
Country	:	US
Telephone Number	:	347-469-3057
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 BERKELEY RD
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-2110
Country	:	US
Telephone Number	:	347-469-3057
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTER/MANAGER
Name	:	MR. KEVIN E REMY
Credential	:	RN
Telephone Number	:	347-469-3057

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	07/16/2025

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