Provider Demographics
NPI:1346631397
Name:UNITED CARE FACILITIES, LLC
Entity Type:Organization
Organization Name:UNITED CARE FACILITIES, LLC
Other - Org Name:UNITED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUCHAVCHILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-748-1919
Mailing Address - Street 1:3850 PELONA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5458
Mailing Address - Country:US
Mailing Address - Phone:661-206-9492
Mailing Address - Fax:866-788-9917
Practice Address - Street 1:3850 PELONA VISTA DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-5458
Practice Address - Country:US
Practice Address - Phone:310-748-1919
Practice Address - Fax:866-788-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility