MEDICARE: UNITED HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1568813343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	1767 SUMMER ST # 4
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905-5123
Country	:	US
Telephone Number	:	917-717-2541
Fax Number	:

Provider Business Practice Location Address
First Line	:	1767 SUMMER ST # 4
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905-5123
Country	:	US
Telephone Number	:	917-717-2541
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YONG WON KWON
Credential	:
Telephone Number	:	917-717-2541

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	06/23/2016

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Directions to “UNITED HOME HEALTH CARE LLC ” Practice Location

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