Provider Demographics
NPI:1114247939
Name:UNITED CARE SERVICE LLC
Entity type:Organization
Organization Name:UNITED CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EZEZEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-498-0800
Mailing Address - Street 1:8147 DELMAR BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3735
Mailing Address - Country:US
Mailing Address - Phone:314-498-0800
Mailing Address - Fax:
Practice Address - Street 1:8147 DELMAR BLVD. #2
Practice Address - Street 2:
Practice Address - City:ST.LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130
Practice Address - Country:US
Practice Address - Phone:314-498-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)