Healthcare Provider Details

I. General information

NPI: 1770562746
Provider Name (Legal Business Name): UNS HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 PORTAGE RD STE 1A
PORTAGE MI
49002-1736
US

IV. Provider business mailing address

4234 CASCADE RD SE
GRAND RAPIDS MI
49546-8384
US

V. Phone/Fax

Practice location:
  • Phone: 269-372-7725
  • Fax: 269-226-9708
Mailing address:
  • Phone: 616-464-1117
  • Fax: 616-464-1044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number237219
License Number StateMI

VIII. Authorized Official

Name: MR. KRISTIAN SKOGEN
Title or Position: PRESIDENT
Credential:
Phone: 269-372-7725