Provider Demographics
NPI:1093983017
Name:UNIFOUR HEALTHCARE, INC.
Entity Type:Organization
Organization Name:UNIFOUR HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:HINSON
Authorized Official - Last Name:STOGNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-895-0945
Mailing Address - Street 1:PO BOX 1717
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28380-1717
Mailing Address - Country:US
Mailing Address - Phone:910-895-0945
Mailing Address - Fax:910-895-5111
Practice Address - Street 1:921 E BROAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4338
Practice Address - Country:US
Practice Address - Phone:910-895-0945
Practice Address - Fax:910-895-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0344251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418188Medicaid