Provider Demographics
NPI:1609670942
Name:UNICOLIVE HOME HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:UNICOLIVE HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-949-7137
Mailing Address - Street 1:9255 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-1456
Mailing Address - Country:US
Mailing Address - Phone:773-949-7137
Mailing Address - Fax:
Practice Address - Street 1:9255 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:EVERGREEN PK
Practice Address - State:IL
Practice Address - Zip Code:60805-1456
Practice Address - Country:US
Practice Address - Phone:773-949-7137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care