NPIMap

Organization Active NPI

Unity Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1023157104
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITY HEALTH CARE, INC
Practice address
1355 New York Ave NE
Washington, DC 20002-1620
Phone
(202) 255-3469
NPI assigned
Feb 6, 2007
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mustafa Morris
Title
Credentialing Specialist
Phone
(202) 715-6590

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Durable Medical Equipment & Medical Supplies 332B00000X
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Podiatrist 213E00000X

Addresses

Primary practice location

1355 New York Ave NE
Washington, DC 20002-1620

Mailing address

1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 715-7975

Other identifiers 1

IdentifierTypeStateIssuer
052860900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000180 DC Part A Provider - Federally Qualified Health Center (FQHC) 3476647264 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023157104. Details of each certification follow.

Federally qualified health center certification: CCN 091834

Legal name
UNITY HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 30, 2007
Last certification
Oct 30, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1987 in DC
Enrollment address
1355 New York Ave NE
Washington, DC 20002-1620

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Unity Health Care Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1355 New York Ave NE
Washington, DC 20002
Phone (202) 255-3469

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vincent a Keane Individual Corporate Officer Oct 22, 1990
W-2 Managing Employee Oct 22, 1990
Jonathan Patrick Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Charles K Barber Individual Corporate DirectorBoard Member Jan 1, 2015 100%
Bruce D Hughes Individual Corporate DirectorBoard Member Jan 1, 2020 100%
Wayne Thomas Collins Individual Corporate DirectorBoard Member Jan 1, 2017 100%
Gina Thomas Cross Individual Corporate DirectorBoard Member Jan 1, 2015 100%
Kevin S Wrege Individual Corporate DirectorBoard Member Jan 1, 2018 100%
Charles R Lowery Individual Corporate DirectorBoard Member Jan 1, 2020 100%
Gwendolyn Devore Individual Corporate DirectorBoard Member Jan 1, 2018 100%
Frederick D Cooke Individual Corporate DirectorBoard Member Jan 1, 2016 100%
Jherrica M Spikes Individual Corporate DirectorBoard Member Jan 1, 2020 100%
Kara Onorato Individual Corporate Officer Oct 1, 2018
W-2 Managing Employee Oct 1, 2018
Lavelle Ginyard Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Silvia Murillo Individual Corporate DirectorBoard Member Jan 1, 2017 100%
Rhonda Hamilton Individual Corporate DirectorBoard Member Jan 1, 2016 100%
Elizabeth L Greene Individual Corporate DirectorBoard Member Jan 1, 2017 100%
Cornelia Mack Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Leslie McIntire Individual Corporate DirectorBoard Member Jan 1, 2018 100%
Kathleen Tenoever Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Taji Anderson Individual Corporate DirectorBoard Member Jan 1, 2018 100%
Paul Kealey Individual Corporate DirectorBoard Member Jan 1, 2017 100%
Layo George Individual Corporate DirectorBoard Member Jan 1, 2020 100%
Vivian Whitaker Individual Corporate DirectorBoard Member Jan 1, 2019 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unity Health Care Inc.Washington, DC, CCN 091831 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2001
Unity Health Care Inc.Washington, DC, CCN 091837 Federally qualified health center Operational/Managerial Control (100%) Dec 6, 2012
Unity Health Care Inc.Washington, DC, CCN 091846 Federally qualified health center Operational/Managerial Control (100%) Jul 25, 2012
Unity Health Care Inc.Washington, DC, CCN 091859 Federally qualified health center Operational/Managerial Control (100%) Jan 5, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1023157104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033326",
            "telephone_number": "202-715-7975",
            "fax_number": "202-617-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 NEW YORK AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021620",
            "telephone_number": "202-255-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "202-715-6590"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052860900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.