Provider Demographics
NPI:1245924349
Name:TB'S UNIQUE HOMECARE INCORPORATED
Entity type:Organization
Organization Name:TB'S UNIQUE HOMECARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-957-4483
Mailing Address - Street 1:PO BOX 26123
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28221-6123
Mailing Address - Country:US
Mailing Address - Phone:704-957-4483
Mailing Address - Fax:704-559-3897
Practice Address - Street 1:5736 N TRYON ST STE 118B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6885
Practice Address - Country:US
Practice Address - Phone:704-957-4483
Practice Address - Fax:704-559-3897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care