Provider Demographics
NPI:1548361215
Name:UNISON HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:UNISON HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.F.O. / TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:BINKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-347-4446
Mailing Address - Street 1:921 SAYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-5616
Mailing Address - Country:US
Mailing Address - Phone:860-347-4446
Mailing Address - Fax:860-343-7351
Practice Address - Street 1:921 SAYBROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-5616
Practice Address - Country:US
Practice Address - Phone:860-347-4446
Practice Address - Fax:860-343-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC16010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11HOtherANTHEM BC BS PROVIDER NO.
CT2V3814OtherHEALTH NET PROVIDER #
CT07-7226Medicare ID - Type UnspecifiedT-18 HOME HEALTH PROVIDER