Provider Demographics
NPI:1730071333
Name:UNIQUE HAVEN HEALTHCARE LLC
Entity type:Organization
Organization Name:UNIQUE HAVEN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAITAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-215-3339
Mailing Address - Street 1:7561 STONEHOUSE RUN DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8469
Mailing Address - Country:US
Mailing Address - Phone:703-215-3339
Mailing Address - Fax:251-428-2239
Practice Address - Street 1:2611 S CLARK ST STE 600
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-4023
Practice Address - Country:US
Practice Address - Phone:703-215-3339
Practice Address - Fax:251-428-2239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care