Provider Demographics
NPI:1033549704
Name:UNITY HEALTH NETWORK, LLC
Entity Type:Organization
Organization Name:UNITY HEALTH NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KENT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:330-971-7409
Mailing Address - Street 1:307 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2400
Mailing Address - Country:US
Mailing Address - Phone:330-926-3468
Mailing Address - Fax:330-926-5858
Practice Address - Street 1:307 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-2400
Practice Address - Country:US
Practice Address - Phone:330-926-3468
Practice Address - Fax:330-926-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6331860006Medicare NSC