MEDICARE: UNACARE HEALTH CARE AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	376J00000X	Homemaker
4	385H00000X	Respite Care

General Provider Information

NPI Number	:	1063090637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNACARE HEALTH CARE AGENCY

Provider Business Mailing Address
First Line	:	6185 S PECOS RD # 205
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3209
Country	:	US
Telephone Number	:	702-203-3394
Fax Number	:

Provider Business Practice Location Address
First Line	:	6185 S PECOS RD # 205
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3209
Country	:	US
Telephone Number	:	702-203-3394
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. VICTOR INMAN
Credential	:
Telephone Number	:	702-203-3393

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	04/01/2021

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