Provider Demographics
NPI:1588463053
Name:UNCONDITIONAL AT HOME CARE LLC
Entity type:Organization
Organization Name:UNCONDITIONAL AT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHELSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIALO DE LA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-633-3607
Mailing Address - Street 1:12995 S CLEVELAND AVE STE 257
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7714
Mailing Address - Country:US
Mailing Address - Phone:239-633-3607
Mailing Address - Fax:
Practice Address - Street 1:12995 S CLEVELAND AVE STE 257
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7714
Practice Address - Country:US
Practice Address - Phone:239-633-3607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care