Provider Demographics
NPI:1669973285
Name:UHC ADULT DAY PROGRAM & TRANSPORTATION SERVICES, INC
Entity type:Organization
Organization Name:UHC ADULT DAY PROGRAM & TRANSPORTATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-473-7551
Mailing Address - Street 1:368 EAST 149TH STREET SUITE 3A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455
Mailing Address - Country:US
Mailing Address - Phone:917-473-7551
Mailing Address - Fax:917-473-7550
Practice Address - Street 1:368
Practice Address - Street 2:EAST 149TH STREET SUITE 3A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:917-473-7551
Practice Address - Fax:917-473-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)