Provider Demographics
NPI:1518461599
Name:S AND C UNITED CARE SERVICES INC
Entity Type:Organization
Organization Name:S AND C UNITED CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATONJA
Authorized Official - Middle Name:DESHAWN
Authorized Official - Last Name:CARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-806-4791
Mailing Address - Street 1:11005 TULIP HILL LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3974
Mailing Address - Country:US
Mailing Address - Phone:301-806-4791
Mailing Address - Fax:202-204-5789
Practice Address - Street 1:6507 VALLEY PARK RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-2571
Practice Address - Country:US
Practice Address - Phone:301-806-4791
Practice Address - Fax:202-204-5789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X, 3104A0630X, 310500000X, 320600000X, 320900000X, 332B00000X
DC320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies