Provider Demographics
NPI:1518674001
Name:UNITED CITIZEN QUALITY CARE LLC
Entity Type:Organization
Organization Name:UNITED CITIZEN QUALITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DUKENS
Authorized Official - Middle Name:LOUISSAINT
Authorized Official - Last Name:MUSTIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-502-6443
Mailing Address - Street 1:100 E LINTON BLVD STE 148A
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3336
Mailing Address - Country:US
Mailing Address - Phone:561-502-6443
Mailing Address - Fax:
Practice Address - Street 1:100 E LINTON BLVD STE 302A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3338
Practice Address - Country:US
Practice Address - Phone:561-502-6443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No253J00000XAgenciesFoster Care Agency
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No342000000XTransportation ServicesTransportation Network Company
No344800000XTransportation ServicesAir Carrier
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker