Provider Demographics
NPI:1063564003
Name:UNITY HOME CARE, INC
Entity type:Organization
Organization Name:UNITY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-864-1799
Mailing Address - Street 1:211 FAIRWAY DR
Mailing Address - Street 2:SUITE
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5571
Mailing Address - Country:US
Mailing Address - Phone:910-864-1799
Mailing Address - Fax:910-864-9016
Practice Address - Street 1:211 FAIRWAY DR
Practice Address - Street 2:SUITE
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5571
Practice Address - Country:US
Practice Address - Phone:910-864-1799
Practice Address - Fax:910-864-9016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X, 253J00000X
NCHC3637251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418315Medicaid
NC8301779BMedicaid
NC6601688Medicaid
NC8301779GMedicaid