Provider Demographics
NPI:1750476180
Name:UNIQUE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:UNIQUE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PERVEZ
Authorized Official - Middle Name:P
Authorized Official - Last Name:DELAWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-577-7596
Mailing Address - Street 1:596 NORTH LAKE AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1222
Mailing Address - Country:US
Mailing Address - Phone:626-577-7596
Mailing Address - Fax:626-577-7828
Practice Address - Street 1:596 NORTH LAKE AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1222
Practice Address - Country:US
Practice Address - Phone:626-577-7596
Practice Address - Fax:626-577-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980000855251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57490FMedicaid
CA557490Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER