Healthcare Provider Details
I. General information
NPI: 1356337927
Provider Name (Legal Business Name): UNITED HELPERS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2005
Last Update Date: 04/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 IRISH SETTLEMENT RD
HEUVELTON NY
13654-3109
US
IV. Provider business mailing address
732 FORD ST
OGDENSBURG NY
13669-1704
US
V. Phone/Fax
- Phone: 315-344-2461
- Fax: 315-344-8857
- Phone: 315-393-3074
- Fax: 315-393-3083
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 7530443 |
| License Number State | NY |
VIII. Authorized Official
Name: MR.
STEPHEN
E
KNIGHT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 315-393-3074