Provider Demographics
NPI:1700023371
Name:UNITED HOME CARE INC.
Entity Type:Organization
Organization Name:UNITED HOME CARE INC.
Other - Org Name:UNITED HOME CARE OF GREENSBORO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:770-279-6200
Mailing Address - Street 1:211 E DOYLE ST
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-2960
Mailing Address - Country:US
Mailing Address - Phone:706-886-8493
Mailing Address - Fax:706-886-0542
Practice Address - Street 1:6340 LAKE OCONEE PKWY
Practice Address - Street 2:STE 102
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-3898
Practice Address - Country:US
Practice Address - Phone:706-454-1770
Practice Address - Fax:706-454-1774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-19
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA117118Medicare Oscar/Certification