Provider Demographics
NPI:1275281180
Name:1 UNITY HOMEHEALTH LLC
Entity Type:Organization
Organization Name:1 UNITY HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-885-3476
Mailing Address - Street 1:3142 W GORDON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-3320
Mailing Address - Country:US
Mailing Address - Phone:856-885-3476
Mailing Address - Fax:
Practice Address - Street 1:3142 W GORDON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3320
Practice Address - Country:US
Practice Address - Phone:856-885-3476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA31422331Medicaid