Provider Demographics
NPI:1992993786
Name:UNITED CARE HOMES, INC.
Entity type:Organization
Organization Name:UNITED CARE HOMES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:TUBIANOSA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-810-5567
Mailing Address - Street 1:1982 CAMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4044
Mailing Address - Country:US
Mailing Address - Phone:626-810-5567
Mailing Address - Fax:626-810-4910
Practice Address - Street 1:15924 GLAZEBROOK DR
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-2646
Practice Address - Country:US
Practice Address - Phone:562-943-8134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities