Provider Demographics
NPI:1588160741
Name:UNITED CARE HOMES
Entity type:Organization
Organization Name:UNITED CARE HOMES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DUNRICK
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SOGIE-THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-938-9664
Mailing Address - Street 1:11001 SWEET GUM WAY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3934
Mailing Address - Country:US
Mailing Address - Phone:240-938-9664
Mailing Address - Fax:
Practice Address - Street 1:11001 SWEET GUM WAY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3934
Practice Address - Country:US
Practice Address - Phone:240-938-9664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty