=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780210476
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNIQUE ADULT DAY HEALTHCARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2020
-----------------------------------------------------
Last Update Date | 09/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14628 MAIN ST
-----------------------------------------------------
City | HESPERIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92345-3323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-890-1281
-----------------------------------------------------
Fax | 442-800-5756
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14628 MAIN ST
-----------------------------------------------------
City | HESPERIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92345-3323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-890-1281
-----------------------------------------------------
Fax | 442-800-5756
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/ PRESIDENT
-----------------------------------------------------
Name | MS. VALERIE MARSHALL
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 310-890-1281
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------