Provider Demographics
NPI:1437475894
Name:UNITED HOMECARE ASSOCIATES
Entity Type:Organization
Organization Name:UNITED HOMECARE ASSOCIATES
Other - Org Name:UNITED HOMECARE ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-886-1053
Mailing Address - Street 1:4019 PARAN RDG NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-3031
Mailing Address - Country:US
Mailing Address - Phone:678-886-1053
Mailing Address - Fax:
Practice Address - Street 1:4019 PARAN RDG NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-3031
Practice Address - Country:US
Practice Address - Phone:678-886-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health