Provider Demographics
NPI:1326828633
Name:THE UNITED NETWORK AMERICA
Entity Type:Organization
Organization Name:THE UNITED NETWORK AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:949-878-6127
Mailing Address - Street 1:23232 PERALTA DR STE 108
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1436
Mailing Address - Country:US
Mailing Address - Phone:949-878-6127
Mailing Address - Fax:
Practice Address - Street 1:23232 PERALTA DR STE 108
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1436
Practice Address - Country:US
Practice Address - Phone:949-878-6127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health