MEDICARE: UNICK ANGELS HOME HEALTH SERVICES

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	010873	TX

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	:	1972833903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNICK ANGELS HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	4231 BARROW RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1648
Country	:	US
Telephone Number	:	281-759-3232
Fax Number	:	281-596-6929

Provider Business Practice Location Address
First Line	:	4231 BARROW RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1648
Country	:	US
Telephone Number	:	281-759-3232
Fax Number	:	281-596-6929

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. SADE JOYCE ONIS
Credential	:	B.A
Telephone Number	:	281-759-3232

Provider Enumeration Date	:	01/14/2010
Last Update Date	:	01/14/2010

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