MEDICARE: UNITED CARE TEAM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205133055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED CARE TEAM, INC.

Provider Business Mailing Address
First Line	:	1045 RUSHLEIGH RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1445
Country	:	US
Telephone Number	:	216-469-1691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 RUSHLEIGH RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1445
Country	:	US
Telephone Number	:	216-469-1691
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. KAREN L GANT
Credential	:
Telephone Number	:	216-469-1691

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	02/14/2011

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Directions to “UNITED CARE TEAM, INC. ” Practice Location

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