Unique Homes

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

2705 124382 Issued in VA

Legal business name

UNIQUE HOMES

Practice address

10519 Godwin Dr
Manassas, VA 20112-2736

Phone

(703) 489-9300

Fax

(703) 530-0961

NPI assigned

Sep 27, 2012

Last updated

Sep 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Simeon Charles Slayton II, MSNPI 1770833030

Title

Owner

Phone

(703) 489-9300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Simeon Charles Slayton II, MS

  • Durable Medical Equipment & Medical Supplies
  • Manassas, VA
  • NPI 1770833030
  NPD (past) Authorized official

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1598016859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10519 GODWIN DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201122736",
            "telephone_number": "703-489-9300",
            "fax_number": "703-530-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10519 GODWIN DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201122736",
            "telephone_number": "703-489-9300",
            "fax_number": "703-530-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "SLAYTON",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-489-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705 124382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Manassas, VA
• Providers in Manassas, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.