Healthcare Provider Details
I. General information
NPI: 1649945197
Provider Name (Legal Business Name): UNICARE HOME SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2021
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5901 MIAMI GARDENS DR STE 203
MIAMI FL
33015-6007
US
IV. Provider business mailing address
5901 MIAMI GARDENS DR STE 203
HIALEAH FL
33015-6007
US
V. Phone/Fax
- Phone: 305-859-3461
- Fax:
- Phone: 305-859-3461
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELSALENA
VALENTIN
Title or Position: PRESIDENT
Credential:
Phone: 786-301-7181