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

General Provider Information

NPI Number	:	1902082720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNICARE HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1113 E FRANKLIN AVE
Second Line	:	211
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-2974
Country	:	US
Telephone Number	:	612-871-1154
Fax Number	:	612-871-1184

Provider Business Practice Location Address
First Line	:	1113 E FRANKLIN AVE
Second Line	:	211
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-2974
Country	:	US
Telephone Number	:	612-871-1154
Fax Number	:	612-871-1184

Authorized Official
Title or Position	:	OWNER
Name	:	WARSAME WARSAME
Credential	:
Telephone Number	:	612-871-1154

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	08/12/2015

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