Provider Demographics
NPI:1376034132
Name:UNIFIED HEALTHCARE LLC
Entity Type:Organization
Organization Name:UNIFIED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:LASALLE
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-608-9788
Mailing Address - Street 1:294 EASTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2654
Mailing Address - Country:US
Mailing Address - Phone:330-608-9788
Mailing Address - Fax:
Practice Address - Street 1:294 EASTLAND AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-2654
Practice Address - Country:US
Practice Address - Phone:330-608-9788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-28
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty