Provider Demographics
NPI:1033867155
Name:U'NIQUE HOME CARE LLC
Entity Type:Organization
Organization Name:U'NIQUE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NIKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERNATHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-991-8050
Mailing Address - Street 1:2051 W CUMBERLAND RD APT 105
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-5354
Mailing Address - Country:US
Mailing Address - Phone:903-392-7525
Mailing Address - Fax:800-577-4265
Practice Address - Street 1:1820 SHILOH RD STE 1205
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2458
Practice Address - Country:US
Practice Address - Phone:903-392-7525
Practice Address - Fax:800-577-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty