Provider Demographics
NPI:1972985497
Name:UNIQUE COMFORT HOMECARE, LLC
Entity Type:Organization
Organization Name:UNIQUE COMFORT HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-616-6281
Mailing Address - Street 1:37 GRAVELO CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-3628
Mailing Address - Country:US
Mailing Address - Phone:443-616-6281
Mailing Address - Fax:
Practice Address - Street 1:37 GRAVELO CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21220-3628
Practice Address - Country:US
Practice Address - Phone:443-616-6281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-20
Last Update Date:2015-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health