Provider Demographics
NPI:1356072961
Name:UNIQUE ANGELS HOME HEALTH INC.
Entity Type:Organization
Organization Name:UNIQUE ANGELS HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAQUANA
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-988-2409
Mailing Address - Street 1:6996 LARK ST
Mailing Address - Street 2:
Mailing Address - City:PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23875-3456
Mailing Address - Country:US
Mailing Address - Phone:786-988-2409
Mailing Address - Fax:
Practice Address - Street 1:6996 LARK ST
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-3456
Practice Address - Country:US
Practice Address - Phone:786-988-2409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty