Unique Plus Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3195 Issued in NC

Legal business name

UNIQUE PLUS HOME CARE AGENCY

Practice address

2504 Raeford Rd
Suite 205
Fayetteville, NC 28305-5294

Phone

(910) 483-7199

Fax

(910) 401-1265

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Teara Johnson

Title

Ceo

Phone

(910) 483-7199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1922494103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RAEFORD RD",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055294",
            "telephone_number": "910-483-7199",
            "fax_number": "910-401-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RAEFORD RD",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055294",
            "telephone_number": "910-483-7199",
            "fax_number": "910-401-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE PLUS HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TEARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-483-7199"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66601888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.