Provider Demographics
NPI:1487842811
Name:UNIQUE CARE MEDICAL LLC
Entity Type:Organization
Organization Name:UNIQUE CARE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-972-2000
Mailing Address - Street 1:10745 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3449
Mailing Address - Country:US
Mailing Address - Phone:623-972-2000
Mailing Address - Fax:623-972-9252
Practice Address - Street 1:10745 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3449
Practice Address - Country:US
Practice Address - Phone:623-972-2000
Practice Address - Fax:623-972-9252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5426870001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5426870001Medicare NSC