Provider Demographics
NPI:1689671810
Name:UNICARE HOME HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:UNICARE HOME HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CATRAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-751-8155
Mailing Address - Street 1:34514 DEQUINDRE RD STE B
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5232
Mailing Address - Country:US
Mailing Address - Phone:313-751-8155
Mailing Address - Fax:586-859-5156
Practice Address - Street 1:34514 DEQUINDRE RD STE B
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5232
Practice Address - Country:US
Practice Address - Phone:313-751-8155
Practice Address - Fax:586-859-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOE916OtherBCBS PROVIDER NUMBER
MI237447Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER