Provider Demographics
NPI:1285416859
Name:UNITED HOME CARE LLC
Entity type:Organization
Organization Name:UNITED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUNJIRI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:508-847-4980
Mailing Address - Street 1:360 W BOYLSTON ST.
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WESTBOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583
Mailing Address - Country:US
Mailing Address - Phone:508-595-8443
Mailing Address - Fax:
Practice Address - Street 1:360 W BOYLSTON ST.
Practice Address - Street 2:SUITE 209
Practice Address - City:WESTBOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583
Practice Address - Country:US
Practice Address - Phone:508-847-4980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency