Provider Demographics
NPI:1942813407
Name:UNITED CARE SERVICES
Entity type:Organization
Organization Name:UNITED CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PANGDA
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-334-5427
Mailing Address - Street 1:1310 HIGHWAY 96 EAST
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-3619
Mailing Address - Country:US
Mailing Address - Phone:651-334-5427
Mailing Address - Fax:651-305-4086
Practice Address - Street 1:1310 HIGHWAY 96 EAST
Practice Address - Street 2:SUITE 204A
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3619
Practice Address - Country:US
Practice Address - Phone:651-334-5427
Practice Address - Fax:651-305-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care