Provider Demographics
NPI:1235363805
Name:UNIQUE HOME CARE & TRANSPORTATION,INC
Entity Type:Organization
Organization Name:UNIQUE HOME CARE & TRANSPORTATION,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEATLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-749-3268
Mailing Address - Street 1:8358 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7319
Mailing Address - Country:US
Mailing Address - Phone:954-749-3268
Mailing Address - Fax:954-749-7980
Practice Address - Street 1:8358 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7319
Practice Address - Country:US
Practice Address - Phone:954-749-3268
Practice Address - Fax:954-749-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228806251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692419196Medicaid
FL691678301Medicaid
FL692419198Medicaid
FL691978300Medicaid