Provider Demographics
NPI:1407161052
Name:UNIQUE HOME CARE SERVICES
Entity Type:Organization
Organization Name:UNIQUE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-721-7376
Mailing Address - Street 1:45 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2516
Mailing Address - Country:US
Mailing Address - Phone:732-721-7376
Mailing Address - Fax:
Practice Address - Street 1:45 WILLOW ST
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-2516
Practice Address - Country:US
Practice Address - Phone:732-721-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services