Provider Demographics
NPI:1477923902
Name:UNITED CARE RESIDENTIAL, INC.
Entity Type:Organization
Organization Name:UNITED CARE RESIDENTIAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:PM
Authorized Official - Last Name:MUKATHE
Authorized Official - Suffix:
Authorized Official - Credentials:DBA
Authorized Official - Phone:562-367-4770
Mailing Address - Street 1:8608 PARROT AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2205
Mailing Address - Country:US
Mailing Address - Phone:562-367-4770
Mailing Address - Fax:
Practice Address - Street 1:8608 PARROT AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2205
Practice Address - Country:US
Practice Address - Phone:562-367-4770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-26
Last Update Date:2015-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities