Healthcare Provider Details

I. General information

NPI: 1790091213
Provider Name (Legal Business Name): UNITED COMMUNITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2010
Last Update Date: 08/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20907 NORMANDY FOREST DR
SPRING TX
77388-5517
US

IV. Provider business mailing address

20907 NORMANDY FOREST DR
SPRING TX
77388-5517
US

V. Phone/Fax

Practice location:
  • Phone: 832-875-6363
  • Fax: 832-778-5020
Mailing address:
  • Phone: 832-875-6363
  • Fax: 832-778-5020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. RASHEED A QURESHI
Title or Position: PROPRIETOR
Credential:
Phone: 832-875-6363