Provider Demographics
NPI:1437470523
Name:UNIQUE FAMILY TIES LLC
Entity Type:Organization
Organization Name:UNIQUE FAMILY TIES LLC
Other - Org Name:FAMILY CARE TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-906-0249
Mailing Address - Street 1:11832 NEWCASTLE AVE
Mailing Address - Street 2:STE 9
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8997
Mailing Address - Country:US
Mailing Address - Phone:225-906-0249
Mailing Address - Fax:225-291-1165
Practice Address - Street 1:11832 NEWCASTLE AVE
Practice Address - Street 2:STE 9
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8997
Practice Address - Country:US
Practice Address - Phone:225-906-0249
Practice Address - Fax:225-291-1165
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIQUE FAMILY TIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)