Provider Demographics
NPI:1225024805
Name:UNITED HELPERS CARE INC
Entity Type:Organization
Organization Name:UNITED HELPERS CARE INC
Other - Org Name:UNITED HELPERS ICF #4
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-393-3074
Mailing Address - Street 1:732 FORD ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1704
Mailing Address - Country:US
Mailing Address - Phone:315-393-3074
Mailing Address - Fax:315-393-3083
Practice Address - Street 1:5147 COUNTY ROUTE 10
Practice Address - Street 2:
Practice Address - City:HEUVELTON
Practice Address - State:NY
Practice Address - Zip Code:13654-3125
Practice Address - Country:US
Practice Address - Phone:315-344-2477
Practice Address - Fax:315-344-7218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7530444315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01060291Medicaid