Provider Demographics
NPI:1801248075
Name:UNITED CARE OF CENTRAL MASSACHUSETTS
Entity type:Organization
Organization Name:UNITED CARE OF CENTRAL MASSACHUSETTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MESFIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MCM
Authorized Official - Phone:508-304-8692
Mailing Address - Street 1:18A MILLBURY ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-2812
Mailing Address - Country:US
Mailing Address - Phone:508-304-8692
Mailing Address - Fax:
Practice Address - Street 1:18A MILLBURY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2812
Practice Address - Country:US
Practice Address - Phone:508-304-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X, 251K00000X, 251S00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health