Healthcare Provider Details

I. General information

NPI: 1154403756
Provider Name (Legal Business Name): UPCAP SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 14TH AVE S
ESCANABA MI
49829-1136
US

IV. Provider business mailing address

PO BOX 606
ESCANABA MI
49829-0606
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-4701
  • Fax: 906-786-5853
Mailing address:
  • Phone: 906-786-4701
  • Fax: 906-786-5853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management 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: MR. JONATHAN MEAD
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 906-786-4701