Healthcare Provider Details

I. General information

NPI: 1033231279
Provider Name (Legal Business Name): UNITED & EMPOWERED CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 GLENROCK DR
HAMPTON VA
23661-1017
US

IV. Provider business mailing address

100 GLICA CT
HAMPTON VA
23666-5699
US

V. Phone/Fax

Practice location:
  • Phone: 757-825-4990
  • Fax:
Mailing address:
  • Phone: 757-896-1065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. VALDA CLAIBORNE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 757-896-1065