Provider Demographics
NPI:1740570951
Name:UCARE AGENCY LLC
Entity Type:Organization
Organization Name:UCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BROUSSOUL
Authorized Official - Middle Name:MICHEL
Authorized Official - Last Name:BLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-632-9420
Mailing Address - Street 1:8 BROOKES AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2753
Mailing Address - Country:US
Mailing Address - Phone:240-632-9420
Mailing Address - Fax:
Practice Address - Street 1:8 BROOKES AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2753
Practice Address - Country:US
Practice Address - Phone:240-632-9420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1101004253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care