Provider Demographics
NPI:1164481289
Name:UNITED HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:UNITED HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-716-0710
Mailing Address - Street 1:8400 NW 33RD ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1937
Mailing Address - Country:US
Mailing Address - Phone:305-477-0440
Mailing Address - Fax:305-716-0798
Practice Address - Street 1:8400 NW 33RD ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1937
Practice Address - Country:US
Practice Address - Phone:305-477-0440
Practice Address - Fax:305-716-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-18
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991265251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024920300Medicaid
FL024920301Medicaid
FL015036300Medicaid
FL650084600Medicaid
FL015036300Medicaid