Healthcare Provider Details

I. General information

NPI: 1265679377
Provider Name (Legal Business Name): UNITED ADULT CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 03/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11448 W SAMPLE RD
CORAL SPRINGS FL
33065-7053
US

IV. Provider business mailing address

PO BOX 451851
SUNRISE FL
33345-1851
US

V. Phone/Fax

Practice location:
  • Phone: 954-471-1098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA F SMITH
Title or Position: PHYSICIAN PA
Credential:
Phone: 954-471-1098