MEDICARE: UNIROSE HOME CARE 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	:	1568117216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIROSE HOME CARE LLC

Provider Business Mailing Address
First Line	:	9 TOWER RD
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108-3038
Country	:	US
Telephone Number	:	860-239-0556
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 TOWER RD
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108-3038
Country	:	US
Telephone Number	:	860-239-0556
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FELICIA FYNN
Credential	:
Telephone Number	:	860-239-0556

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	02/21/2022

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