MEDICARE: UNITY HEALTHCARE LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558227421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	N80W15039 APPLETON AVE APT 203
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-3883
Country	:	US
Telephone Number	:	414-499-1116
Fax Number	:

Provider Business Practice Location Address
First Line	:	N80W15039 APPLETON AVE APT 203
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-3883
Country	:	US
Telephone Number	:	414-499-1116
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAZMIN FOWLER
Credential	:
Telephone Number	:	414-499-1116

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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