Healthcare Provider Details

I. General information

NPI: 1578559159
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

2320 FORD STREET EXT
OGDENSBURG NY
13669-5450
US

IV. Provider business mailing address

732 FORD ST
OGDENSBURG NY
13669-1704
US

V. Phone/Fax

Practice location:
  • Phone: 315-393-9425
  • Fax: 315-393-4414
Mailing address:
  • Phone: 315-393-3074
  • Fax: 315-393-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number7530012A
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number7530470
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number7530430
License Number StateNY

VIII. Authorized Official

Name: MR. STEPHEN E KNIGHT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 315-393-3074