1366815854 NPI number — UNITED HEALTH HOME CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366815854 NPI number — UNITED HEALTH HOME CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED HEALTH HOME CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366815854
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7404 CHAPEL HILL RD STE N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27607-5043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-649-5138
Provider Business Mailing Address Fax Number:
888-419-0817

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7404 CHAPEL HILL RD, STE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-649-5138
Provider Business Practice Location Address Fax Number:
888-419-0817
Provider Enumeration Date:
11/05/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ELEANYA
Authorized Official First Name:
AKAOSA
Authorized Official Middle Name:
ONUMA
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
919-649-5138

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  HC4805 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)