Provider Demographics
NPI:1083672364
Name:A-UNIFIED HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:A-UNIFIED HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:NKEMDIRIM
Authorized Official - Last Name:UKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-216-7311
Mailing Address - Street 1:2033 MILITARY PARKWAY
Mailing Address - Street 2:SUITE 400D
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3670
Mailing Address - Country:US
Mailing Address - Phone:972-216-7311
Mailing Address - Fax:972-290-4722
Practice Address - Street 1:2033 MILITARY PARKWAY
Practice Address - Street 2:SUITE 400D
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3670
Practice Address - Country:US
Practice Address - Phone:972-216-7311
Practice Address - Fax:972-290-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008010251300000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679110Medicare Oscar/Certification