Provider Demographics
NPI:1013532290
Name:UNISON HOMECARE, LLC
Entity Type:Organization
Organization Name:UNISON HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-969-8810
Mailing Address - Street 1:4273 HOLLIDAY RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-8850
Mailing Address - Country:US
Mailing Address - Phone:205-422-6208
Mailing Address - Fax:770-216-1652
Practice Address - Street 1:4273 HOLLIDAY RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-8850
Practice Address - Country:US
Practice Address - Phone:205-422-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health