UNIQUE HOME BASE CARE LLC (NPI# 1669079588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669079588 |
| Entity Type | Organization |
| Organization Name | UNIQUE HOME BASE CARE LLC |
| Practice Address |
1031 S 60th St Unit C Philadelphia PA 19143-2342 |
| Mailing Address |
2616 Allison Dr Pottstown PA 19464-3151 |
| Practice Telephone | 4849250062 |
| Mailing Telephone | 4839950939 |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-04 |
| Authorized Official Name | CHRISTINA MATTHEWS (OWNER) |
| Authorized Official Telephone | 4849950939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAID /CHIP | 1037111070001 | 01 |
| Street Address |
1031 S 60TH ST UNIT C |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609402320 | David Sumo | Technician | 2501 S Carroll St, Philadelphia, PA 19142-2112 | 2020-03-13 |
| 1144856931 | Mothers Touch Home Health Care | Technician | 2839 W Girard Ave Fl 1, Philadelphia, PA 19130-1214 | 2020-03-12 |
| 1952958662 | Glorimar Dejesus | Technician | 3315 Emerald St, Philadelphia, PA 19134-2550 | 2019-08-19 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1477021210 | Sheila Joyner | Technician | 902 Asbury Ter # 2nd, Philadelphia, PA 19126-2303 | 2018-11-09 |
| 1417441841 | Love and Glory Services LLC | Technician | 664 Lawler St, Philadelphia, PA 19116-3336 | 2018-06-19 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1689296790 | Enspire Consulting Group.llc | Technician | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-05-12 |
| 1215580592 | Holy Angel Home Care LLC | Technician | 9313 Krewstown Rd, Philadelphia, PA 19115-3710 | 2019-07-16 |
| 1982117503 | Christian Standards for Christian Care | Technician | 1617 John F Kennedy Blvd Ste 555, Philadelphia, PA 19103-1840 | 2017-11-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
Please comment or provide details below to improve the information on UNIQUE HOME BASE CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.