Provider Demographics
NPI:1790054732
Name:UNITED HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:UNITED HEALTH CARE SERVICES
Other - Org Name:UNITED COMMUNICATIONS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GUERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-729-1230
Mailing Address - Street 1:2162 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4657
Mailing Address - Country:US
Mailing Address - Phone:561-729-1230
Mailing Address - Fax:
Practice Address - Street 1:2162 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4657
Practice Address - Country:US
Practice Address - Phone:561-729-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED COMMUNICATIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN 5186364251300000X, 251C00000X, 251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251300000XAgenciesLocal Education Agency (LEA)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care