MEDICARE: UNICARE HOME HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518992080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNICARE HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	2140 W OLYMPIC BLVD STE 327
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 W OLYMPIC BLVD STE 327
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2279
Country	:	US
Telephone Number	:	213-388-9111
Fax Number	:	213-388-9119

Authorized Official
Title or Position	:	BILLER
Name	:	MRS. SUNNY LEE
Credential	:
Telephone Number	:	12133889111

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/22/2020

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Directions to “UNICARE HOME HEALTH SERVICES, INC. ” Practice Location

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