Provider Demographics
NPI:1598867897
Name:UNICARE HOME HEALTH, INC
Entity Type:Organization
Organization Name:UNICARE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:REUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-623-7423
Mailing Address - Street 1:6060 DIXIE HWY
Mailing Address - Street 2:SUITE G
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-3476
Mailing Address - Country:US
Mailing Address - Phone:248-623-7423
Mailing Address - Fax:248-623-7655
Practice Address - Street 1:6060 DIXIE HWY
Practice Address - Street 2:SUITE G
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-3476
Practice Address - Country:US
Practice Address - Phone:248-623-7423
Practice Address - Fax:248-623-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3312790Medicaid
MI3312790Medicaid