Provider Demographics
NPI:1316651144
Name:UNITY CARE LLC
Entity type:Organization
Organization Name:UNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDOULAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANSANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-803-8883
Mailing Address - Street 1:200 PROSPERITY DR # 105
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4718
Mailing Address - Country:US
Mailing Address - Phone:865-803-8883
Mailing Address - Fax:865-824-2853
Practice Address - Street 1:200 PROSPERITY DR # 105
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4718
Practice Address - Country:US
Practice Address - Phone:865-803-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN88-149912Medicaid