Provider Demographics
NPI:1295532372
Name:UNIQUE HOME AIDE LLC
Entity type:Organization
Organization Name:UNIQUE HOME AIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-652-7419
Mailing Address - Street 1:6619 EAGLES NEST LN
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-0050
Mailing Address - Country:US
Mailing Address - Phone:317-652-7419
Mailing Address - Fax:207-910-8703
Practice Address - Street 1:3326 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-2125
Practice Address - Country:US
Practice Address - Phone:317-652-7419
Practice Address - Fax:207-910-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care