Healthcare Provider Details

I. General information

NPI: 1720316607
Provider Name (Legal Business Name): UNITED QUEST CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2627 GRIMSLEY ST
GREENSBORO NC
27403-3135
US

IV. Provider business mailing address

2627 GRIMSLEY ST
GREENSBORO NC
27403-3135
US

V. Phone/Fax

Practice location:
  • Phone: 336-279-1227
  • Fax: 336-279-1226
Mailing address:
  • Phone: 336-279-1227
  • Fax: 336-279-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number00000
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number00000
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00000
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number00000
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number00000
License Number StateSC
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. DEMETRIA VANEUS
Title or Position: CEO
Credential:
Phone: 336-279-1227