Healthcare Provider Details

I. General information

NPI: 1639486673
Provider Name (Legal Business Name): UNIC HOME HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4307 CISCO VALLEY DR
ROUND ROCK TX
78664-3941
US

IV. Provider business mailing address

4307 CISCO VALLEY DRIVE
ROUND,ROCK TX
78664
US

V. Phone/Fax

Practice location:
  • Phone: 512-299-8885
  • Fax: 512-670-3631
Mailing address:
  • Phone: 512-299-8885
  • Fax: 512-670-3631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. STELLA NGOZI NWAOZO
Title or Position: ADMINISTRATOR/DIRECTOR OF NURSING
Credential: BSN/RN
Phone: 512-299-8885