Provider Demographics
NPI:1265867501
Name:UNICK ANGELS HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:UNICK ANGELS HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:281-201-2247
Mailing Address - Street 1:12808 W AIRPORT BLVD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6184
Mailing Address - Country:US
Mailing Address - Phone:281-201-2247
Mailing Address - Fax:281-201-2248
Practice Address - Street 1:12808 W AIRPORT BLVD
Practice Address - Street 2:SUITE 312
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6184
Practice Address - Country:US
Practice Address - Phone:281-201-2247
Practice Address - Fax:281-201-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010873251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010873Medicaid