Provider Demographics
NPI:1861545246
Name:UNIQUE HOME CARE AGENCY
Entity type:Organization
Organization Name:UNIQUE HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-398-5877
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-0397
Mailing Address - Country:US
Mailing Address - Phone:252-332-4509
Mailing Address - Fax:252-398-8381
Practice Address - Street 1:415 E HOLLOMAN AVE RM 50
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-2314
Practice Address - Country:US
Practice Address - Phone:252-332-4509
Practice Address - Fax:252-398-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3173251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health