MEDICARE: UCHANGE 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

General Provider Information

NPI Number	:	1720399447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UCHANGE INC.

Provider Business Mailing Address
First Line	:	1406 PARK AVENUE
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-3529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 PARK AVENUE
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-3529
Country	:	US
Telephone Number	:	708-898-0196
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ANGELA N IKPEAMA
Credential	:	RN, BSN, MPH
Telephone Number	:	708-898-0196

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	09/23/2010

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Directions to “UCHANGE INC. ” Practice Location

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