Healthcare Provider Details

I. General information

NPI: 1285416859
Provider Name (Legal Business Name): UNITED HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 W BOYLSTON ST. SUITE 209
WESTBOYLSTON MA
01583
US

IV. Provider business mailing address

360 W BOYLSTON ST. SUITE 209
WESTBOYLSTON MA
01583
US

V. Phone/Fax

Practice location:
  • Phone: 508-847-4980
  • Fax:
Mailing address:
  • Phone: 508-595-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: CAROL NGUNJIRI
Title or Position: CEO
Credential: RN, BSN
Phone: 508-847-4980