Provider Demographics
NPI:1437698594
Name:UNITED CARE LLC
Entity Type:Organization
Organization Name:UNITED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGOUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-228-2223
Mailing Address - Street 1:781 N GRANADA DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-6301
Mailing Address - Country:US
Mailing Address - Phone:480-228-2223
Mailing Address - Fax:
Practice Address - Street 1:781 N GRANADA DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-6301
Practice Address - Country:US
Practice Address - Phone:480-228-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL21007165343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)