Provider Demographics
NPI:1235014903
Name:UNIELICARE
Entity type:Organization
Organization Name:UNIELICARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IJENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALUKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-479-8006
Mailing Address - Street 1:16208 ALSON WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1513
Mailing Address - Country:US
Mailing Address - Phone:240-838-2540
Mailing Address - Fax:
Practice Address - Street 1:8865 STANFORD BLVD STE -202
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5420
Practice Address - Country:US
Practice Address - Phone:443-367-9644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care