Provider Demographics
NPI:1952739435
Name:UNITY GLOBAL AGENCY LLC
Entity Type:Organization
Organization Name:UNITY GLOBAL AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:ASEDIPUPO
Authorized Official - Last Name:ADEYANJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-371-3005
Mailing Address - Street 1:634 CLINTON AVENUE
Mailing Address - Street 2:304
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108
Mailing Address - Country:US
Mailing Address - Phone:862-371-3005
Mailing Address - Fax:862-267-3322
Practice Address - Street 1:634 CLINTON AVENUE
Practice Address - Street 2:304
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108
Practice Address - Country:US
Practice Address - Phone:862-371-3005
Practice Address - Fax:862-267-3322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY GLOBAL AGENCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0177400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health