Provider Demographics
NPI:1447631247
Name:UNIQUE QUALITY HOME CARE, LLC
Entity type:Organization
Organization Name:UNIQUE QUALITY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUNO
Authorized Official - Middle Name:
Authorized Official - Last Name:GRECO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:314-656-1431
Mailing Address - Street 1:7220 N LINDBERGH BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2019
Mailing Address - Country:US
Mailing Address - Phone:314-656-1431
Mailing Address - Fax:314-656-1550
Practice Address - Street 1:7220 N LINDBERGH BLVD
Practice Address - Street 2:STE. 140
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2019
Practice Address - Country:US
Practice Address - Phone:314-656-1505
Practice Address - Fax:314-656-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0015236Medicaid