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General NPI Number Information
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NPI Number | 1417998865
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Entity Type | Organization
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Legal Business Name | UCM HOME CARE
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | ONE INGALLS DRIVE WYMAN GORDON PAVILION
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City | HARVEY
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State | IL
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Zip | 60426
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Country | US
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Telephone | 708-331-0226
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Fax | 708-915-2749
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Provider Business Mailing Address
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Address Line | ONE INGALLS DRIVE WYMAN GORDON PAVILION
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City | HARVEY
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State | IL
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Zip | 60426
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Country | US
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Telephone | 708-331-0226
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Fax | 708-915-2749
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | SANDRA FELIKSIK
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Credential |
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Telephone | 708-331-0226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1001338
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License Number State | IL
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