Provider Demographics
NPI:1114113941
Name:UNITY HOUSE, INC.
Entity Type:Organization
Organization Name:UNITY HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPRP
Authorized Official - Phone:904-534-2791
Mailing Address - Street 1:9101 HAWKEYE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-3601
Mailing Address - Country:US
Mailing Address - Phone:904-786-7982
Mailing Address - Fax:904-786-7982
Practice Address - Street 1:9101 HAWKEYE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-3601
Practice Address - Country:US
Practice Address - Phone:904-786-7982
Practice Address - Fax:904-786-7982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility