Provider Demographics
NPI:1437981131
Name:UNITED CARE LLC
Entity type:Organization
Organization Name:UNITED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRMOJAHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-701-4498
Mailing Address - Street 1:2704 N COOLWATER AVE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-6643
Mailing Address - Country:US
Mailing Address - Phone:208-701-4498
Mailing Address - Fax:
Practice Address - Street 1:2704 N COOLWATER AVE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-6643
Practice Address - Country:US
Practice Address - Phone:208-701-4498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care