MEDICARE: UNIFAM HOME HEALTH SERVICE L.P.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619741931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFAM HOME HEALTH SERVICE L.P.

Provider Business Mailing Address
First Line	:	3391 OMEGA DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-8833
Country	:	US
Telephone Number	:	614-300-2470
Fax Number	:	614-300-2472

Provider Business Practice Location Address
First Line	:	3391 OMEGA DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-8833
Country	:	US
Telephone Number	:	614-363-3592
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALSARTA WUYA LAMIN
Credential	:	RN, BSN
Telephone Number	:	614-633-5927

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	01/09/2025

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