Provider Demographics
NPI:1770732703
Name:UNIQUE HOME CARE AGENCY, INC.
Entity type:Organization
Organization Name:UNIQUE HOME CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JOSELA
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:201-794-9262
Mailing Address - Street 1:12-18 RIVER RD
Mailing Address - Street 2:SUITE ONE/REAR
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1841
Mailing Address - Country:US
Mailing Address - Phone:201-794-9262
Mailing Address - Fax:201-794-2122
Practice Address - Street 1:12-18 RIVER RD
Practice Address - Street 2:SUITE ONE/REAR
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1841
Practice Address - Country:US
Practice Address - Phone:201-794-9262
Practice Address - Fax:201-794-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0080600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health