Provider Demographics
NPI:1205546827
Name:UNITED COMMUNITY CARE OF ESSEX LLC
Entity type:Organization
Organization Name:UNITED COMMUNITY CARE OF ESSEX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DION
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:CASHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-295-7447
Mailing Address - Street 1:185 CENTRAL AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-3317
Mailing Address - Country:US
Mailing Address - Phone:862-295-7447
Mailing Address - Fax:
Practice Address - Street 1:185 CENTRAL AVE STE 400
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3317
Practice Address - Country:US
Practice Address - Phone:862-295-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services