Provider Demographics
NPI:1932491024
Name:A UNITY HEALTH MANAGEMENT GROUP, INC.
Entity Type:Organization
Organization Name:A UNITY HEALTH MANAGEMENT GROUP, INC.
Other - Org Name:UNITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:CHAVOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-529-3892
Mailing Address - Street 1:PO BOX 533832
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853
Mailing Address - Country:US
Mailing Address - Phone:301-562-6136
Mailing Address - Fax:301-562-8590
Practice Address - Street 1:8555 16TH ST. SUITE 810
Practice Address - Street 2:SUITE 810
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-562-6136
Practice Address - Fax:301-562-8590
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A UNITY HEALTH MANAGEMENT GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2079251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health