Provider Demographics
NPI:1417623752
Name:UNITY CARE GROUP, INC
Entity Type:Organization
Organization Name:UNITY CARE GROUP, INC
Other - Org Name:PLACER COLOMA UNITY CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER AND 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 STE 115
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3797
Mailing Address - Country:US
Mailing Address - Phone:408-971-9822
Mailing Address - Fax:408-510-3484
Practice Address - Street 1:1224 COLOMA WAY STE 190
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4601
Practice Address - Country:US
Practice Address - Phone:408-971-9822
Practice Address - Fax:408-510-3484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY CARE GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-17
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health