Provider Demographics
NPI:1841980190
Name:UNITED HOME HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:UNITED HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTIST
Authorized Official - Middle Name:
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-744-3433
Mailing Address - Street 1:2828 N CENTRAL AVE STE 806
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1021
Mailing Address - Country:US
Mailing Address - Phone:262-744-3433
Mailing Address - Fax:
Practice Address - Street 1:2828 N CENTRAL AVE STE 806
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1021
Practice Address - Country:US
Practice Address - Phone:262-744-3433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HOME HEALTH CARE AGENCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care