MEDICARE: UNIQUE CARE 1 LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356150361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE CARE 1 LLC

Provider Business Mailing Address
First Line	:	5015 SYLVAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-2120
Country	:	US
Telephone Number	:	317-500-5312
Fax Number	:

Provider Business Practice Location Address
First Line	:	5015 SYLVAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-2120
Country	:	US
Telephone Number	:	317-500-5312
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHUNNEK GREEN
Credential	:
Telephone Number	:	317-500-5312

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	01/03/2025

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