MEDICARE: UNICON HEALTH SERVICES, 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	251E00000X	Home Health Agency	009519	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10018189	OTHER	TX	PAS

General Provider Information

NPI Number	:	1740225192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNICON HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	505 N SAM HOUSTON PKWY E
Second Line	:	STE 255
City	:	HOUSTON
State	:	TX
Zip	:	77060-4018
Country	:	US
Telephone Number	:	281-820-1300
Fax Number	:	281-820-1304

Provider Business Practice Location Address
First Line	:	505 N SAM HOUSTON PKWY E
Second Line	:	STE 255
City	:	HOUSTON
State	:	TX
Zip	:	77060-4018
Country	:	US
Telephone Number	:	281-820-1300
Fax Number	:	281-820-1304

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PABLA O HERNANDEZ
Credential	:
Telephone Number	:	281-820-1300

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/22/2020

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