NPIMap

Organization Active NPI

Unicare Home Health Services of Tyler, Inc.

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1164488334
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
006918 Issued in TX
Legal business name
UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Practice address
3300 S Broadway Ave
Ste 208
Tyler, TX 75701-7818
Phone
(903) 531-9949
Fax
(903) 531-9951
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mini Prince
Title
Ceo
Phone
(903) 531-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 006918 TX Primary

Addresses

Primary practice location

3300 S Broadway Ave
Ste 208
Tyler, TX 75701-7818

Mailing address

3300 S Broadway Ave
Ste 208
Tyler, TX 75701-7818
Phone (903) 531-9949

Other identifiers 1

IdentifierTypeStateIssuer
024406301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208001011 TX Part A Provider - Home Health Agency 5193982726 Practice locations: Tyler, TX

Home health agency certification: CCN 459429

Legal name
UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Doing business as
UNICARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 11, 1998
Last certification
Sep 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 25, 1998 in TX
Enrollment address
3300 S Broadway Ave
Ste 208
Tyler, TX 75701-7849
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Unicare Home Health ServicesCCN 459429
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 11, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0930415Unicare Home Health Services3300 S Broadway Ave Suite 208, Tyler, TX 75701Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elsy Varghese Individual W-2 Managing EmployeeAlternate Supervising Nurse Apr 21, 2021
Acme Capital Holdings in Organization, Frisco, TX Corporation, Management services company, For-profit 5% Or Greater Direct Ownership Interest Apr 21, 2021 100%
Operational/Managerial Control Apr 21, 2021 100%
Ekaete I Ekpo Individual W-2 Managing EmployeeNursing Supervisor Apr 12, 2021 100%
Prince V Samuel Individual 5% Or Greater Indirect Ownership InterestAdministrator Apr 21, 2021 100%
Corporate Officer Apr 21, 2021 100%
Corporate Director Apr 21, 2021 100%
W-2 Managing Employee Apr 21, 2021 100%
Merin Prince Individual W-2 Managing EmployeeAlt Administrator Apr 18, 2022

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1164488334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S BROADWAY AVE",
            "address_2": "STE 208",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-531-9949",
            "fax_number": "903-531-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S BROADWAY AVE",
            "address_2": "STE 208",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-531-9949",
            "fax_number": "903-531-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE HOME HEALTH SERVICES OF TYLER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-531-9949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024406301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.