Provider Demographics
NPI:1073337481
Name:UNITED CARE SERVICES
Entity type:Organization
Organization Name:UNITED CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-703-0869
Mailing Address - Street 1:41 HUTCHINS DR BLDG 3
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-1931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 HUTCHINS DR BLDG 3
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-1931
Practice Address - Country:US
Practice Address - Phone:612-423-2082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health