MEDICARE: UNITY HOME CARE

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL026-912	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851694368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HOME CARE

Provider Business Mailing Address
First Line	:	PO BOX 48714
Second Line	:
City	:	CUMBERLAND
State	:	NC
Zip	:	28331-8714
Country	:	US
Telephone Number	:	910-864-1799
Fax Number	:	910-864-9016

Provider Business Practice Location Address
First Line	:	1419 MILTON ST
Second Line	:
City	:	SPRING LAKE
State	:	NC
Zip	:	28390-2511
Country	:	US
Telephone Number	:	910-339-0902
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BRENDA MCLEAN
Credential	:
Telephone Number	:	910-864-1799

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	12/06/2010

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