Provider Demographics
NPI:1063612414
Name:UNITED COMMUNITY & FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:UNITED COMMUNITY & FAMILY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-889-2375
Mailing Address - Street 1:34 E TOWN ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2317
Mailing Address - Country:US
Mailing Address - Phone:860-889-2375
Mailing Address - Fax:860-889-3450
Practice Address - Street 1:34 E TOWN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2317
Practice Address - Country:US
Practice Address - Phone:860-889-2375
Practice Address - Fax:860-889-3450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTAL-0026310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004210837Medicaid
CT077044Medicare PIN