MEDICARE: UNITED ASSISTANCE 4 LIFE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	261QA0600X	Adult Day Care Clinic/Center
3	251S00000X	Community/Behavioral Health Agency
4	253Z00000X	In Home Supportive Care Agency
5	311ZA0620X	Adult Care Home Facility
6	343900000X	Non-emergency Medical Transport (VAN)
7	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265077911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED ASSISTANCE 4 LIFE, LLC

Provider Business Mailing Address
First Line	:	4232 ARBOR MILL CIR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-3204
Country	:	US
Telephone Number	:	904-532-5186
Fax Number	:

Provider Business Practice Location Address
First Line	:	4232 ARBOR MILL CIR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-3204
Country	:	US
Telephone Number	:	904-532-5186
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LEAUNDRIA SHAHEED
Credential	:
Telephone Number	:	904-532-5186

Provider Enumeration Date	:	11/16/2019
Last Update Date	:	04/10/2026

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Directions to “UNITED ASSISTANCE 4 LIFE, LLC ” Practice Location

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