Healthcare Provider Details

I. General information

NPI: 1013549468
Provider Name (Legal Business Name): UNION HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 LA PAS TRL STE 265
INDIANAPOLIS IN
46268-4869
US

IV. Provider business mailing address

6201 LA PAS TRL STE 265
INDIANAPOLIS IN
46268-4869
US

V. Phone/Fax

Practice location:
  • Phone: 800-507-0850
  • Fax: 877-888-8252
Mailing address:
  • Phone: 800-507-0850
  • Fax: 877-888-8252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAMATOU ISMAILA
Title or Position: PRESIDENT
Credential:
Phone: 800-507-0850