Provider Demographics
NPI:1750909438
Name:UNI CARE AT HOME, INC.
Entity type:Organization
Organization Name:UNI CARE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHAVARZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-796-6912
Mailing Address - Street 1:1510 S ESCONDIDO BLVD # 103
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-6017
Mailing Address - Country:US
Mailing Address - Phone:800-796-6912
Mailing Address - Fax:800-796-6812
Practice Address - Street 1:1510 S ESCONDIDO BLVD # 103
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-6017
Practice Address - Country:US
Practice Address - Phone:800-796-6912
Practice Address - Fax:800-796-6812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty