Provider Demographics
NPI:1235307042
Name:UNITED HELP COMMUNITY SERVICE
Entity Type:Organization
Organization Name:UNITED HELP COMMUNITY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YENER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRAZANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-822-5956
Mailing Address - Street 1:5331 W 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2100
Mailing Address - Country:US
Mailing Address - Phone:305-822-5956
Mailing Address - Fax:305-822-5973
Practice Address - Street 1:5331 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2100
Practice Address - Country:US
Practice Address - Phone:305-822-5956
Practice Address - Fax:305-822-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012920000Medicaid
FL687104696Medicaid
FL000459300Medicaid