Provider Demographics
NPI:1972833903
Name:UNICK ANGELS HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:UNICK ANGELS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SADE
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:ONIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:281-759-3232
Mailing Address - Street 1:4231 BARROW RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1648
Mailing Address - Country:US
Mailing Address - Phone:281-759-3232
Mailing Address - Fax:281-596-6929
Practice Address - Street 1:4231 BARROW RIDGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1648
Practice Address - Country:US
Practice Address - Phone:281-759-3232
Practice Address - Fax:281-596-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010873251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1972259Medicaid