Provider Demographics
NPI:1639645385
Name:UNION HOME CARE LLC
Entity type:Organization
Organization Name:UNION HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-367-4777
Mailing Address - Street 1:1111 STREET RD STE 312
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4250
Mailing Address - Country:US
Mailing Address - Phone:267-367-4777
Mailing Address - Fax:267-367-4779
Practice Address - Street 1:1111 STREET RD STE 312
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4250
Practice Address - Country:US
Practice Address - Phone:267-367-4777
Practice Address - Fax:267-367-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-21
Last Update Date:2018-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103461443-0001Medicaid