Provider Demographics
NPI:1619967130
Name:UNIQUE HOME CARE, INC.
Entity Type:Organization
Organization Name:UNIQUE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BADGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-246-6991
Mailing Address - Street 1:1320 US HIGHWAY 221 N
Mailing Address - Street 2:PO BOX 835
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9302
Mailing Address - Country:US
Mailing Address - Phone:336-246-6991
Mailing Address - Fax:336-246-6927
Practice Address - Street 1:1320 US HIGHWAY 221 N
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9302
Practice Address - Country:US
Practice Address - Phone:336-246-6991
Practice Address - Fax:336-246-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1824251E00000X, 253Z00000X
NCHC1881251E00000X
NCHC2294251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601214Medicaid
NC3408342Medicaid
NC6601213Medicaid
NC6601212Medicaid