Provider Demographics
NPI:1588927750
Name:UNIQUE HOME CARE & COMPANIONSHIP SERVICES
Entity type:Organization
Organization Name:UNIQUE HOME CARE & COMPANIONSHIP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CADC
Authorized Official - Phone:732-900-5060
Mailing Address - Street 1:45 WILLOW STREET
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2516
Mailing Address - Country:US
Mailing Address - Phone:732-900-5060
Mailing Address - Fax:973-286-0400
Practice Address - Street 1:877 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-2612
Practice Address - Country:US
Practice Address - Phone:973-286-0100
Practice Address - Fax:973-286-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities