Unique Exceptional Services LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

UNIQUE EXCEPTIONAL SERVICES LLC

Practice address

431 W Obispo Ave
Clewiston, FL 33440-4419

Phone

(404) 822-8842

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rachel M. Fuller

Title

Ceo/Community Service Provider

Phone

(404) 822-8842

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1982124020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334400724",
            "telephone_number": "404-822-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W OBISPO AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334404419",
            "telephone_number": "404-822-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 W Obispo Ave",
            "address_purpose": "LOCATION",
            "city": "Clewiston",
            "state": "FL",
            "postal_code": "334404419",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIQUE EXCEPTIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/COMMUNITY SERVICE PROVIDER",
        "authorized_official_telephone_number": "404-822-8842",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008996400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Timonera
• Tara Denise Tolbert, CNA
• Melissa Maura Torres Pena
• Nelkis Treto
• Sandra Turino
• Lizet Urquiza
• Jesenia Valdes, OWNER
• Ruddy Valdes, DO
• Chinh Van, DDS
• Kevin Van, D.D.S

• Preferred Provider Organization in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.