Provider Demographics
NPI:1508211723
Name:UNITED P PLUS
Entity Type:Organization
Organization Name:UNITED P PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:614-725-2888
Mailing Address - Street 1:297 WOODLAND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1747
Mailing Address - Country:US
Mailing Address - Phone:614-725-2888
Mailing Address - Fax:614-725-2088
Practice Address - Street 1:297 WOODLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1747
Practice Address - Country:US
Practice Address - Phone:614-725-2888
Practice Address - Fax:614-725-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2258772251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH183084370Medicaid