Healthcare Provider Details

I. General information

NPI: 1093697534
Provider Name (Legal Business Name): UNICORN BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N ORANGE ST FL 4
WILMINGTON DE
19801-1242
US

IV. Provider business mailing address

1007 N ORANGE ST FL 4
WILMINGTON DE
19801-1242
US

V. Phone/Fax

Practice location:
  • Phone: 307-400-2374
  • Fax: 737-946-7531
Mailing address:
  • Phone: 307-400-2374
  • Fax: 737-946-7531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ROBERTO IZIDORO DE SOUZA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 307-400-2374