Provider Demographics
NPI:1740925668
Name:UNIQUE HOMECARE SERVICE LLC
Entity type:Organization
Organization Name:UNIQUE HOMECARE SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:P
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-643-2572
Mailing Address - Street 1:114 1/2 W INNES ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4326
Mailing Address - Country:US
Mailing Address - Phone:980-643-2572
Mailing Address - Fax:
Practice Address - Street 1:114 1/2 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4326
Practice Address - Country:US
Practice Address - Phone:980-643-2572
Practice Address - Fax:704-603-4262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care