Provider Demographics
NPI:1457636490
Name:UCI GROUP OF HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:UCI GROUP OF HEALTH CARE SERVICES, INC.
Other - Org Name:UCI HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANVIVATPONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-265-5251
Mailing Address - Street 1:16244 S MILITARY TRL
Mailing Address - Street 2:SUITE 755
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-265-5251
Mailing Address - Fax:
Practice Address - Street 1:16244 S MILITARY TRL STE 755
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6532
Practice Address - Country:US
Practice Address - Phone:561-265-5251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683119Medicare PIN