MEDICARE: UNIQUE IN HOME SERVICE LLP

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	:	1437962487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE IN HOME SERVICE LLP

Provider Business Mailing Address
First Line	:	304 JOHN ST
Second Line	:
City	:	MARSHVILLE
State	:	NC
Zip	:	28103-1477
Country	:	US
Telephone Number	:	704-441-6998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 N OAK ST STE 305N
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-3173
Country	:	US
Telephone Number	:	704-441-6998
Fax Number	:	704-776-4094

Authorized Official
Title or Position	:	CEO
Name	:	TAMMY BITTLE
Credential	:
Telephone Number	:	704-441-6998

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	03/05/2025

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