Provider Demographics
NPI:1528605243
Name:UNITED CARE COMMUNITY HOME LLC
Entity Type:Organization
Organization Name:UNITED CARE COMMUNITY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:OYERONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINLEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-350-5596
Mailing Address - Street 1:1201 OVERLOOK RD APT 6
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-6124
Mailing Address - Country:US
Mailing Address - Phone:484-350-5596
Mailing Address - Fax:
Practice Address - Street 1:1201 OVERLOOK RD APT 6
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-6124
Practice Address - Country:US
Practice Address - Phone:484-350-5596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-01
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities