Provider Demographics
NPI:1639486673
Name:UNIC HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:UNIC HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:NWAOZO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN/RN
Authorized Official - Phone:512-299-8885
Mailing Address - Street 1:4307 CISCO VALLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROUND,ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:512-299-8885
Mailing Address - Fax:512-670-3631
Practice Address - Street 1:4307 CISCO VALLEY DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3941
Practice Address - Country:US
Practice Address - Phone:512-299-8885
Practice Address - Fax:512-670-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health