Provider Demographics
NPI:1699060228
Name:UNICARE HEALTHCARE SVCS.
Entity type:Organization
Organization Name:UNICARE HEALTHCARE SVCS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEJK
Authorized Official - Middle Name:KJ
Authorized Official - Last Name:KLJKLJKLJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-555-8585
Mailing Address - Street 1:2600 S LOOP W
Mailing Address - Street 2:200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2653
Mailing Address - Country:US
Mailing Address - Phone:214-555-5555
Mailing Address - Fax:972-852-7585
Practice Address - Street 1:2600 S LOOP W
Practice Address - Street 2:200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2653
Practice Address - Country:US
Practice Address - Phone:214-555-5555
Practice Address - Fax:972-852-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health