Provider Demographics
NPI:1023311636
Name:UNIQ HEALTHCARE
Entity type:Organization
Organization Name:UNIQ HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELIANTHE
Authorized Official - Middle Name:V
Authorized Official - Last Name:MONKOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-404-1578
Mailing Address - Street 1:10111 M L KING JR HWY
Mailing Address - Street 2:SUITE 118
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4200
Mailing Address - Country:US
Mailing Address - Phone:240-296-5341
Mailing Address - Fax:240-667-7583
Practice Address - Street 1:10111 M L KING JR HWY
Practice Address - Street 2:SUITE 118
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4200
Practice Address - Country:US
Practice Address - Phone:240-296-5341
Practice Address - Fax:240-667-7583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2953P251F00000X, 253Z00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care