MEDICARE: UNITY HOME 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	1500-9073	MO

General Provider Information

NPI Number	:	1720119159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HOME INC.

Provider Business Mailing Address
First Line	:	3410 JACKSON ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64507-1937
Country	:	US
Telephone Number	:	816-233-2308
Fax Number	:	816-671-0364

Provider Business Practice Location Address
First Line	:	3410 JACKSON ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64507-1937
Country	:	US
Telephone Number	:	816-233-2308
Fax Number	:	816-671-0364

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LINDA D. HYDER
Credential	:
Telephone Number	:	816-233-2308

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1760531230 — UNITY HOME INC.
Practice Location Address:

3410 JACKSON ST
SAINT JOSEPH, MO
64507-1937

Practice Phone: 816-233-2308
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1619155611 — BARRETT AND DRISCOLL,MD'S,PC
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1124221114 — DEER VALLEY HOME HEALTH SERVICES LLC
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Directions to “UNITY HOME INC. ” Practice Location

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