Active NPI
Uniecl LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- San Jose, CA
National Provider Identifier
1801620331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- UNIECL LLC
- Practice address
- 565 S 5TH St
San Jose, CA 95112-5647 - Phone
- (408) 728-0829
- NPI assigned
- Aug 28, 2024
- 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
- Deandre Justice
- Title
- Chief Executive Officer
- Phone
- (408) 728-0829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
565 S 5TH St
San Jose, CA 95112-5647
Mailing address
565 S 5TH St
San Jose, CA 95112-5647
Phone (408) 728-0829
Other names 1
- UNIEC
National Provider Directory
National Provider DirectoryLocations
565 S 5th St
San Jose, CA 95112
Phone (408) 728-0829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1801620331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 S 5TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125647",
"telephone_number": "408-728-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 S 5TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125647",
"telephone_number": "408-728-0829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIECL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "JUSTICE",
"authorized_official_first_name": "DEANDRE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "408-728-0829"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UNIEC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.