Healthcare Provider Details

I. General information

NPI: 1366207581
Provider Name (Legal Business Name): UNIDOS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 38TH ST
KANSAS CITY KS
66102-2227
US

IV. Provider business mailing address

1150 N 38TH ST
KANSAS CITY KS
66102-2227
US

V. Phone/Fax

Practice location:
  • Phone: 913-300-0452
  • Fax:
Mailing address:
  • Phone: 816-325-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CESAR GONZALEZ
Title or Position: CEO
Credential:
Phone: 816-325-3434