Healthcare Provider Details

I. General information

NPI: 1023572146
Provider Name (Legal Business Name): UNIBE GROUP HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 N SANDY LN
SINKING SPRING PA
19608-9547
US

IV. Provider business mailing address

228 N SANDY LN
SINKING SPRING PA
19608-9547
US

V. Phone/Fax

Practice location:
  • Phone: 610-401-4687
  • Fax:
Mailing address:
  • Phone: 610-401-4687
  • 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: LINDA IBE
Title or Position: OWNER / PRESIDENT
Credential:
Phone: 610-401-4687