Provider Demographics
NPI:1386341436
Name:UNIVERSAL CARE ALLIANCE
Entity type:Organization
Organization Name:UNIVERSAL CARE ALLIANCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMSINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-470-3019
Mailing Address - Street 1:105B LOUDON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-333-6400
Mailing Address - Fax:
Practice Address - Street 1:105 LOUDON RD
Practice Address - Street 2:BLDG. 2, 1ST FLOOR, SUITE 211
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-333-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3138487Medicaid