=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619741931
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNIFAM HOME HEALTH SERVICE L.P.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2023
-----------------------------------------------------
Last Update Date | 01/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3391 OMEGA DR
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43231-8833
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-363-3592
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3391 OMEGA DR
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43231-8833
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-300-2470
-----------------------------------------------------
Fax | 614-300-2472
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ALSARTA WUYA LAMIN
-----------------------------------------------------
Credential | RN, BSN
-----------------------------------------------------
Telephone | 614-633-5927
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------