Provider Demographics
NPI:1386767085
Name:UNION SETTLEMENT HOME CARE SERVICES
Entity type:Organization
Organization Name:UNION SETTLEMENT HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-828-6031
Mailing Address - Street 1:237 E 104TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5404
Mailing Address - Country:US
Mailing Address - Phone:212-828-6000
Mailing Address - Fax:212-828-6047
Practice Address - Street 1:237 E 104TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5404
Practice Address - Country:US
Practice Address - Phone:212-828-6000
Practice Address - Fax:212-828-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization