Provider Demographics
NPI:1235154022
Name:UNITY HOMECARE, LLC
Entity Type:Organization
Organization Name:UNITY HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY-LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDAUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-720-5931
Mailing Address - Street 1:2610 NW EXPRESSWAY STE A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112
Mailing Address - Country:US
Mailing Address - Phone:405-720-5931
Mailing Address - Fax:405-720-7936
Practice Address - Street 1:2610 NW EXPRESSWAY STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-720-5931
Practice Address - Fax:405-720-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0039096163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty