Provider Demographics
NPI:1114898293
Name:UNITY HOME SUPPORT CARE LLC
Entity type:Organization
Organization Name:UNITY HOME SUPPORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHEE NOU
Authorized Official - Middle Name:
Authorized Official - Last Name:THAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-992-3191
Mailing Address - Street 1:1000 HOLLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55071-1420
Mailing Address - Country:US
Mailing Address - Phone:916-992-3191
Mailing Address - Fax:
Practice Address - Street 1:1000 HOLLEY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL PARK
Practice Address - State:MN
Practice Address - Zip Code:55071-1420
Practice Address - Country:US
Practice Address - Phone:916-992-3191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-13
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care