Provider Demographics
NPI:1942813407
Name:UNITED CARE SERVICES
Entity Type:Organization
Organization Name:UNITED CARE SERVICES
Other - Org Name:UNITED CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PANGDA
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-438-0339
Mailing Address - Street 1:9143 LOUISIANA AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-3249
Mailing Address - Country:US
Mailing Address - Phone:763-710-4981
Mailing Address - Fax:763-710-4990
Practice Address - Street 1:9143 LOUISIANA AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-3249
Practice Address - Country:US
Practice Address - Phone:763-710-4981
Practice Address - Fax:763-710-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care