Organization
UNIQUE HOME BASE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MATTHEWS (OWNER)
(484) 995-0939
Entity
Organization
Contact information
Practice address
1031 S 60TH ST UNIT C, PHILADELPHIA, PA 19143-2342
(484) 925-0062
Mailing address
2616 ALLISON DR, POTTSTOWN, PA 19464-3151
(483) 995-0939
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037111070001
MEDICAID /CHIP
PA
Enumeration date
10/04/2020
Last updated
10/04/2020
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