Organization Active NPI

Uniecl LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • San Jose, CA
National Provider Identifier
1801620331
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Aug 30, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.