MEDICARE: UNIQUE HEALTH SERVICE INC

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	1812382	OH
2	343900000X	Non-emergency Medical Transport (VAN)	1812382	OH
3	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1891063335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE HEALTH SERVICE INC

Provider Business Mailing Address
First Line	:	7150 WITCH HAZEL LN
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-5081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24748 AURORA RD STE 101B
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-6905
Country	:	US
Telephone Number	:	216-395-5665
Fax Number	:	216-395-5666

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROSE IHEME
Credential	:
Telephone Number	:	440-376-9648

Provider Enumeration Date	:	12/12/2011
Last Update Date	:	01/19/2023

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