Provider Demographics
NPI:1952495988
Name:UNITED ACTIONS INC.
Entity Type:Organization
Organization Name:UNITED ACTIONS INC.
Other - Org Name:ODESSEY HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QMRP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-944-7978
Mailing Address - Street 1:7119 BERYL ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-5621
Mailing Address - Country:US
Mailing Address - Phone:909-944-7978
Mailing Address - Fax:909-944-3788
Practice Address - Street 1:2032 E OLIVE CT
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-1648
Practice Address - Country:US
Practice Address - Phone:909-941-7422
Practice Address - Fax:909-944-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC60541GOtherPROVIDER NUMBER