Provider Demographics
NPI:1275567265
Name:UNI-CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:UNI-CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:409-838-4049
Mailing Address - Street 1:155 INTERSTATE 10 N
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-2546
Mailing Address - Country:US
Mailing Address - Phone:409-838-4049
Mailing Address - Fax:409-838-4608
Practice Address - Street 1:155 INTERSTATE 10 N
Practice Address - Street 2:SUITE 7
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2546
Practice Address - Country:US
Practice Address - Phone:409-838-4049
Practice Address - Fax:409-838-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009764251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677802Medicare ID - Type UnspecifiedPROVIDER NUMBER