Healthcare Provider Details

I. General information

NPI: 1235070632
Provider Name (Legal Business Name): UNIFAM HOME HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25448 LAWTON AVE
LOMA LINDA CA
92354-3693
US

IV. Provider business mailing address

25448 LAWTON AVE
LOMA LINDA CA
92354-3693
US

V. Phone/Fax

Practice location:
  • Phone: 951-640-9517
  • Fax:
Mailing address:
  • Phone: 951-640-9517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. KWAME AGYEMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 951-640-9517