MEDICARE: UNIQUE CARE COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	385HR2065X	Child Physical Disabilities Respite Care
3	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1942553441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE CARE COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	2046 E 64TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5912
Country	:	US
Telephone Number	:	347-446-5594
Fax Number	:	718-504-5304

Provider Business Practice Location Address
First Line	:	9317 AVENUE L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4806
Country	:	US
Telephone Number	:	347-502-2956
Fax Number	:	718-504-5304

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. AEON ANTHONY CLARK
Credential	:
Telephone Number	:	347-502-2956

Provider Enumeration Date	:	10/21/2012
Last Update Date	:	08/08/2021

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