MEDICARE: UAC HEALTHCARE SERVICES LLC

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

General Provider Information

NPI Number	:	1700828183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UAC HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	14206 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5234
Country	:	US
Telephone Number	:	281-413-2444
Fax Number	:	713-433-5574

Provider Business Practice Location Address
First Line	:	14206 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5234
Country	:	US
Telephone Number	:	281-413-2444
Fax Number	:	713-433-5574

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES AHAIWE
Credential	:
Telephone Number	:	281-413-2444

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	08/22/2020

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