Unified Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UNIFIED HEALTH CARE INC.

Doing business as

Great Lakes Villa

Practice address

6940 Zane Ave North
Brooklyn Park, MN 55429

Phone

(952) 393-7857

Fax

(651) 766-5275

NPI assigned

Apr 27, 2022

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah A Ojogwu

Title

Owner/Manager

Phone

(952) 210-2817

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Villa Doing business as

Locations

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1649914375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 GARLAND LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462413",
            "telephone_number": "952-242-6146",
            "fax_number": "657-766-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 ZANE AVE NORTH",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55429",
            "telephone_number": "952-393-7857",
            "fax_number": "651-766-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "OJOGWU",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "952-210-2817",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.