Provider Demographics
NPI:1275284069
Name:UNICARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:UNICARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-812-0417
Mailing Address - Street 1:5272 KRENSON WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-6601
Mailing Address - Country:US
Mailing Address - Phone:813-812-0417
Mailing Address - Fax:863-603-3291
Practice Address - Street 1:20 LAKE WIRE DR STE 185
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-1519
Practice Address - Country:US
Practice Address - Phone:813-812-0417
Practice Address - Fax:863-603-3291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty