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NPI Code Detail

MEDICARE: UNICARE HOME HEALTH SERVICES OF TYLER, INC.

MEDICARE: UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency006918TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164488334
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Provider Business Mailing Address
First Line : 3300 S BROADWAY AVE
Second Line : STE 208
City : TYLER
State : TX
Zip : 75701-7818
Country : US
Telephone Number : 903-531-9949
Fax Number : 903-531-9951
Provider Business Practice Location Address
First Line : 3300 S BROADWAY AVE
Second Line : STE 208
City : TYLER
State : TX
Zip : 75701-7818
Country : US
Telephone Number : 903-531-9949
Fax Number : 903-531-9951
Authorized Official
Title or Position : CEO
Name : MR. MINI PRINCE
Credential :
Telephone Number : 903-531-9949
Provider Enumeration Date : 04/25/2006
Last Update Date : 08/08/2025

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Directions to “UNICARE HOME HEALTH SERVICES OF TYLER, INC. ” Practice Location

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