- Enrollment id
- O20101013000060
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417998865
- Multiple npi flag
- N
- Ccn
- 147435
- Associate id
- 2466507637
- Organization name
- UCM HOME CARE
- Incorporation date
- 1985-05-28
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1 INGALLS DR
- City
- HARVEY
- State
- IL
- Zip code
- 604263558