Active NPI
Unity Health Care Inc
- Federally Qualified Health Center (FQHC)
- Washington, DC
National Provider Identifier
1386763654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- UNITY HEALTH CARE INC
- Practice address
- 4713 Wisconsin Ave NW
Washington, DC 20016-4609 - Phone
- (202) 364-1419
- NPI assigned
- Mar 28, 2007
- Last updated
- May 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent A. Keane
- Title
- President Ceo
- Phone
- (202) 715-6562
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
4713 Wisconsin Ave NW
Washington, DC 20016-4609
Mailing address
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 715-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024905300 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386763654. Details of each certification follow.
Federally qualified health center certification: CCN 091829
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- 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
- Facility address
- 4713 Wisconsin Ave NW
Washington, DC 20016
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1386763654",
"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": "202-715-7900",
"fax_number": "202-544-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4713 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164609",
"telephone_number": "202-364-1419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "KEANE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "202-715-6562"
},
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024905300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.