MEDICARE: UNITY CARE GROUP, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1801386636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY CARE GROUP, INC.

Provider Business Mailing Address
First Line	:	1400 PARKMOOR AVE STE 115
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-3797
Country	:	US
Telephone Number	:	408-971-9822
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 CROCKER CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-4301
Country	:	US
Telephone Number	:	408-971-9822
Fax Number	:	408-510-3484

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	ANDRE CHAPMAN
Credential	:
Telephone Number	:	408-971-9822

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/17/2018

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