Provider Demographics
NPI:1043670755
Name:UNITED HOMECARE SERVICES
Entity Type:Organization
Organization Name:UNITED HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-472-9491
Mailing Address - Street 1:1275 NW ADAMS ST STE A
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-3549
Mailing Address - Country:US
Mailing Address - Phone:503-472-9491
Mailing Address - Fax:
Practice Address - Street 1:1275 NW ADAMS ST STE A
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-3549
Practice Address - Country:US
Practice Address - Phone:503-472-9491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-2177253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care