Provider Demographics
NPI:1376999557
Name:UNITY CARE GROUP, INC.
Entity Type:Organization
Organization Name:UNITY CARE GROUP, INC.
Other - Org Name:IMANI VILLAGE SCHOOL-LINKED SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-971-9822
Mailing Address - Street 1:1400 PARKMOOR AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3797
Mailing Address - Country:US
Mailing Address - Phone:408-510-3480
Mailing Address - Fax:
Practice Address - Street 1:2050 KAMMERER AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-3020
Practice Address - Country:US
Practice Address - Phone:408-971-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY CARE GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health