Provider Demographics
NPI:1720316607
Name:UNITED QUEST CARE SERVICES, LLC
Entity Type:Organization
Organization Name:UNITED QUEST CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:VANEUS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:336-279-1227
Mailing Address - Street 1:708 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-7832
Mailing Address - Country:US
Mailing Address - Phone:336-324-5172
Mailing Address - Fax:336-279-1226
Practice Address - Street 1:114 GADSDEN ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-2066
Practice Address - Country:US
Practice Address - Phone:336-279-1227
Practice Address - Fax:800-465-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC00000101YA0400X, 104100000X, 1041C0700X, 251B00000X
NC00000101YM0800X
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302770Medicaid
NCC939Medicare UPIN