Provider Demographics
NPI:1982310272
Name:ONECARE MEDICAL GROUP, LLC
Entity Type:Organization
Organization Name:ONECARE MEDICAL GROUP, LLC
Other - Org Name:UNICARE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THANH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-427-5198
Mailing Address - Street 1:11789 E ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1156
Mailing Address - Country:US
Mailing Address - Phone:720-427-5198
Mailing Address - Fax:
Practice Address - Street 1:11789 E ASBURY AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1156
Practice Address - Country:US
Practice Address - Phone:720-427-5198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies