Provider Demographics
NPI:1346573961
Name:UNITED HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:UNITED HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LARITA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-857-6140
Mailing Address - Street 1:327 MISSOURI AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62201-3088
Mailing Address - Country:US
Mailing Address - Phone:618-857-6140
Mailing Address - Fax:618-589-1468
Practice Address - Street 1:327 MISSOURI AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62201-3088
Practice Address - Country:US
Practice Address - Phone:618-857-6140
Practice Address - Fax:618-589-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health