NPIMap

Organization Active NPI

Unity Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1386782563
Registry record updated Jun 24, 2020
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
4414 Benning Rd NE
Washington, DC 20019-4555
Phone
(202) 388-7891
Fax
(202) 388-5202
NPI assigned
Feb 1, 2007
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITY HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Vincent Keane
Title
Chief Executive Officer
Phone
(202) 715-6562

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4414 Benning Rd NE
Washington, DC 20019-4555

Mailing address

1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 715-7900

Other identifiers 3

IdentifierTypeStateIssuer
087022600MedicaidDC
077558700MedicaidDC
073828600MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000132 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 1386782563. Details of each certification follow.

Federally qualified health center certification: CCN 091803

Legal name
UNITY HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1987 in DC
Enrollment address
4414 Benning Rd NE
Washington, DC 20019-4555

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
Part of
Unity Health Care Inc

Organizations with this tax ID in the same state 24

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

View all 24

Locations

123 45th St NE
Washington, DC 20019
Phone (202) 388-7755

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
Jonathan Patrick Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Charles K Barber Individual Corporate DirectorBoard Member Jan 1, 2016
Glenda Gurnsey Individual Corporate DirectorDirector Patient Financial Services Jan 4, 2021
Wayne Thomas Collins Individual Corporate DirectorBoard Member Jan 1, 2017
Gina Thomas Cross Individual Corporate DirectorBoard Member Jan 1, 2015
Lisa L Holly Individual W-2 Managing EmployeePayer Provider Enrollment Suprvsr Aug 7, 2023
Benjamin Oldfield Individual Corporate OfficerChief Medical Officer Dec 9, 2024
Kevin S Wrege Individual Corporate DirectorBoard Member Jan 1, 2018
Heather Foster Individual Corporate DirectorBoard Member Jan 1, 2016
Gwendolyn Devore Individual Corporate DirectorBoard Member Jan 1, 2018
Frederick D Cooke Individual Corporate DirectorBoard Member Jan 1, 2016
Lavelle Ginyard Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Silvia Murillo Individual Corporate DirectorBoard Member Jan 1, 2017
Rhonda Hamilton Individual Corporate DirectorBoard Member Jan 1, 2016
Elizabeth L Greene Individual Corporate DirectorBoard Member Jan 1, 2017
Edwin L Jones Individual Corporate DirectorBoard Member Jan 24, 2014
Cornelia Mack Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Leslie McIntire Individual Corporate DirectorBoard Member Jan 1, 2016
Kathleen Tenoever Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Paul Kealey Individual Corporate DirectorBoard Member Jan 1, 2017
Sharona Bean Robinson Individual Corporate DirectorBoard Member Jan 1, 2016
Vivian Whitaker Individual Corporate DirectorBoard Member Jan 1, 2019 100%
Raymond W Bush Individual Corporate DirectorBoard Member Jan 31, 2014

Owners & managing parties with NPI records 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1386782563",
    "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": "4414 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194555",
            "telephone_number": "202-388-7891",
            "fax_number": "202-388-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITY HEALTH CARE, INC.",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-715-6562"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087022600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077558700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073828600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.