Provider Demographics
NPI:1568633329
Name:UPC UNLIMITED LLC
Entity Type:Organization
Organization Name:UPC UNLIMITED LLC
Other - Org Name:VISITING HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELWIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-AYOUTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-695-0923
Mailing Address - Street 1:11512 SUPERIOR AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1343
Mailing Address - Country:US
Mailing Address - Phone:216-795-9836
Mailing Address - Fax:216-795-7090
Practice Address - Street 1:11512 SUPERIOR AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1343
Practice Address - Country:US
Practice Address - Phone:216-795-9836
Practice Address - Fax:216-795-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1760120251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health