Unity Group Home, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH-2998 Issued in AZ

Legal business name

UNITY GROUP HOME, LLC

Practice address

12406 W Surrey Ave
El Mirage, AZ 85335-7245

Phone

(480) 202-2972

Fax

(623) 546-0161

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Kay Edwards

Title

Owner

Phone

(480) 202-2972

Specialties & licenses 1

Addresses

Tax ID family

Unity Assisted Living Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Unity Group Homes, LLC

  • Assisted Living Facility
  • Mesa, AZ
  • NPI 1346553484
  NPD tax ID
• Unity Group Homes, LLC

  • Assisted Living Facility
  • Mesa, AZ
  • NPI 1477881514
  NPD tax ID

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1104008366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961375",
            "telephone_number": "480-202-2972",
            "fax_number": "623-546-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 W SURREY AVE",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853357245",
            "telephone_number": "480-202-2972",
            "fax_number": "623-546-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-202-2972"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.