Provider Demographics
NPI:1851604565
Name:UNITED ELDER CARE SERVICES
Entity Type:Organization
Organization Name:UNITED ELDER CARE SERVICES
Other - Org Name:BOCA HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAUFMAN-BENSMIHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:561-989-0611
Mailing Address - Street 1:4700 NW 2ND AVENUE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4869
Mailing Address - Country:US
Mailing Address - Phone:561-989-0611
Mailing Address - Fax:
Practice Address - Street 1:4700 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4878
Practice Address - Country:US
Practice Address - Phone:561-989-0611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235Z00000X
FL30211009311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care FacilityGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL682750100Medicaid