Provider Demographics
NPI:1891927935
Name:UNITED HOME CARE PROVIDERS
Entity Type:Organization
Organization Name:UNITED HOME CARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADELI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-498-8602
Mailing Address - Street 1:10906 WALTER TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-1385
Mailing Address - Country:US
Mailing Address - Phone:703-498-8602
Mailing Address - Fax:
Practice Address - Street 1:10906 WALTER TAYLOR RD
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1385
Practice Address - Country:US
Practice Address - Phone:703-498-8602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service