Provider Demographics
NPI:1922649128
Name:UNICARE COMPANION SERVICES INC
Entity Type:Organization
Organization Name:UNICARE COMPANION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOKOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBINOVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-430-9149
Mailing Address - Street 1:14730 SPRINGFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4149
Mailing Address - Country:US
Mailing Address - Phone:929-430-9149
Mailing Address - Fax:
Practice Address - Street 1:14730 SPRINGFIELD LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-4149
Practice Address - Country:US
Practice Address - Phone:929-430-9149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care