Provider Demographics
NPI:1326481813
Name:UNICARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:UNICARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GULEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-330-3716
Mailing Address - Street 1:6142 CREEK VIEW TRL
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-6109
Mailing Address - Country:US
Mailing Address - Phone:770-330-3716
Mailing Address - Fax:404-254-1831
Practice Address - Street 1:6142 CREEK VIEW TRL
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-6109
Practice Address - Country:US
Practice Address - Phone:770-330-3716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health