Provider Demographics
NPI:1962065607
Name:UNITY HOME CARE AGENCY ,INC
Entity type:Organization
Organization Name:UNITY HOME CARE AGENCY ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:413-777-8200
Mailing Address - Street 1:1266 E MAIN ST STE STAMFORD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3546
Mailing Address - Country:US
Mailing Address - Phone:413-777-8200
Mailing Address - Fax:917-473-7550
Practice Address - Street 1:368 E 149TH ST STE 3A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3916
Practice Address - Country:US
Practice Address - Phone:413-777-8200
Practice Address - Fax:917-473-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1669919285OtherLONG TERM INSURANCE