Healthcare Provider Details

I. General information

NPI: 1821973900
Provider Name (Legal Business Name): UNIFIED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 UNIVERSITY AVE
GREEN BAY WI
54302-1829
US

IV. Provider business mailing address

1524 UNIVERSITY AVE
GREEN BAY WI
54302-1829
US

V. Phone/Fax

Practice location:
  • Phone: 920-784-1429
  • Fax:
Mailing address:
  • Phone: 920-784-1429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. FERMIN MORALES
Title or Position: OWNER
Credential: LPN
Phone: 920-518-1181