Provider Demographics
NPI:1861629396
Name:UBS CAREGIVER AGENCY INC
Entity Type:Organization
Organization Name:UBS CAREGIVER AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-693-1064
Mailing Address - Street 1:1123 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-3923
Mailing Address - Country:US
Mailing Address - Phone:601-693-1064
Mailing Address - Fax:601-693-1094
Practice Address - Street 1:1123 24TH AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-3923
Practice Address - Country:US
Practice Address - Phone:601-693-1064
Practice Address - Fax:601-693-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00770593Medicaid