MEDICARE: UNION HOME CARE 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
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1588235238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION HOME CARE INC

Provider Business Mailing Address
First Line	:	1434 S CHURCH ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27803-4110
Country	:	US
Telephone Number	:	252-883-2546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 S CHURCH ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27803-4110
Country	:	US
Telephone Number	:	252-883-2546
Fax Number	:	252-557-3541

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	SEDERICK D SMITH
Credential	:
Telephone Number	:	252-883-2546

Provider Enumeration Date	:	07/04/2021
Last Update Date	:	07/07/2021

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