MEDICARE: UNIFIED CARE 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	314000000X	Skilled Nursing Facility
2	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1821973900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED CARE LLC

Provider Business Mailing Address
First Line	:	1524 UNIVERSITY AVE
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54302-1829
Country	:	US
Telephone Number	:	920-784-1429
Fax Number	:

Provider Business Practice Location Address
First Line	:	1524 UNIVERSITY AVE
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54302-1829
Country	:	US
Telephone Number	:	920-784-1429
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. FERMIN MORALES
Credential	:	LPN
Telephone Number	:	920-518-1181

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/13/2025

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Directions to “UNIFIED CARE LLC ” Practice Location

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