Unique Advanced Care Support Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

UNIQUE ADVANCED CARE SUPPORT SERVICE LLC

Practice address

1408 Longville Cir
Tavares, FL 32778-4918

Phone

(352) 818-2814

NPI assigned

Aug 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Domonique N Fashaw

Title

Owner

Phone

(352) 818-2814

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1386199362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LONGVILLE CIR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784918",
            "telephone_number": "352-818-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LONGVILLE CIR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784918",
            "telephone_number": "352-818-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE ADVANCED CARE SUPPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "FASHAW",
        "authorized_official_first_name": "DOMONIQUE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-818-2814"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rambabu Tummala, MD
• Forrest Nicholas Turner
• U Rang Delivery LLC
• Deborah Ann Umlauf, CRNA
• Unik Elite Care LLC
• United Health Advisory Group
• Cesar Armando Unyon, M.D.
• Upperline Healthcare, PC
• Upperline Healthcare, PC
• Brett Michael Urie, APRN

• In Home Supportive Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.