Provider Demographics
NPI:1568189181
Name:UNITED IN CARE SERVICES LLC
Entity type:Organization
Organization Name:UNITED IN CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PIERRE RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NICOLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-792-0317
Mailing Address - Street 1:1 WESTINGHOUSE PLZ STE 207
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2075
Mailing Address - Country:US
Mailing Address - Phone:617-778-8186
Mailing Address - Fax:617-231-7090
Practice Address - Street 1:1 WESTINGHOUSE PLZ STE 207
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2075
Practice Address - Country:US
Practice Address - Phone:617-778-8186
Practice Address - Fax:617-231-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA10074836Medicaid