Healthcare Provider Details

I. General information

NPI: 1831806322
Provider Name (Legal Business Name): UNITED CITIZEN CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LINTON BLVD STE 148A
DELRAY BEACH FL
33483-3336
US

IV. Provider business mailing address

100 E LINTON BLVD STE 148A
DELRAY BEACH FL
33483-3336
US

V. Phone/Fax

Practice location:
  • Phone: 561-502-6443
  • Fax:
Mailing address:
  • Phone: 561-502-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: DUKENS LOUISSAINT MUSTIVA
Title or Position: MANAGER
Credential:
Phone: 561-502-6443