Provider Demographics
NPI:1639850373
Name:PROCARE UNITED LLC
Entity Type:Organization
Organization Name:PROCARE UNITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:AKPOFURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-419-5076
Mailing Address - Street 1:300 2ND AVE NE STE 224
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-3373
Mailing Address - Country:US
Mailing Address - Phone:170-141-9507
Mailing Address - Fax:
Practice Address - Street 1:300 2ND AVE NE STE 224
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3373
Practice Address - Country:US
Practice Address - Phone:701-419-5076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health