Healthcare Provider Details

I. General information

NPI: 1063032951
Provider Name (Legal Business Name): UNIQUE IN HOME PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 04/01/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E MILWAUKEE ST UNIT 1125
JEFFERSON WI
53549-1636
US

IV. Provider business mailing address

148 E MILWAUKEE ST # 1125
JEFFERSON WI
53549-1636
US

V. Phone/Fax

Practice location:
  • Phone: 608-640-2720
  • Fax:
Mailing address:
  • Phone: 608-640-2720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: VANQUE LEVY-BATTLE
Title or Position: OWNER
Credential:
Phone: 608-640-2720