Provider Demographics
NPI:1750554465
Name:UNICARE HOME HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:UNICARE HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WARSAME
Authorized Official - Middle Name:
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-771-8821
Mailing Address - Street 1:2003 10TH AVE S
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2901
Mailing Address - Country:US
Mailing Address - Phone:612-871-1154
Mailing Address - Fax:612-871-1184
Practice Address - Street 1:2003 10TH AVE S
Practice Address - Street 2:SUITE 3
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2901
Practice Address - Country:US
Practice Address - Phone:612-871-1154
Practice Address - Fax:612-871-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health