Provider Demographics
NPI:1730677428
Name:UNITED HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:UNITED HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-622-0482
Mailing Address - Street 1:21 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-9215
Mailing Address - Country:US
Mailing Address - Phone:281-622-0482
Mailing Address - Fax:
Practice Address - Street 1:21 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-9215
Practice Address - Country:US
Practice Address - Phone:281-622-0482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health