Unique Homecare Service

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

UNIQUE HOMECARE SERVICE

Practice address

1009 Allen St
South Bend, IN 46616-1435

Phone

(574) 386-0612

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Alvicia Jackson

Title

Manager

Phone

(574) 386-0612

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1780522805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ALLEN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ALLEN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161435",
            "telephone_number": "574-386-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE HOMECARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALVICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-386-0612"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.