MEDICARE: UNIQ COMPASSIONATE CARE STAFFING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1417639238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQ COMPASSIONATE CARE STAFFING

Provider Business Mailing Address
First Line	:	80 GREENWOOD AVE
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-2158
Country	:	US
Telephone Number	:	857-417-7853
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 GREENWOOD AVE
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-2158
Country	:	US
Telephone Number	:	857-417-7853
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GUERLINE CLAUDE
Credential	:
Telephone Number	:	857-417-7553

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	08/02/2023

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