Healthcare Provider Details

I. General information

NPI: 1336016989
Provider Name (Legal Business Name): UNITED CARE AGENCY, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E MARKET ST STE 200
INDIANAPOLIS IN
46204-3254
US

IV. Provider business mailing address

6101 N KEYSTONE AVE STE 100
INDIANAPOLIS IN
46220-2499
US

V. Phone/Fax

Practice location:
  • Phone: 463-261-3233
  • Fax:
Mailing address:
  • Phone: 866-875-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMINIQUE SQUIRES
Title or Position: GENERAL PARTNER
Credential:
Phone: 463-261-3233