MEDICARE: UNITED HELPERS CARE INC

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	251S00000X	Community/Behavioral Health Agency	7530012A	NY
2	251B00000X	Case Management Agency	7530470	NY
3	320800000X	Mental Illness Community Based Residential Treatment Facility	7530430	NY

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	:	1578559159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HELPERS CARE INC

Provider Business Mailing Address
First Line	:	732 FORD ST
Second Line	:
City	:	OGDENSBURG
State	:	NY
Zip	:	13669-1704
Country	:	US
Telephone Number	:	315-393-3074
Fax Number	:	315-393-3083

Provider Business Practice Location Address
First Line	:	2320 FORD STREET EXT
Second Line	:
City	:	OGDENSBURG
State	:	NY
Zip	:	13669-5450
Country	:	US
Telephone Number	:	315-393-9425
Fax Number	:	315-393-4414

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. STEPHEN E KNIGHT
Credential	:
Telephone Number	:	315-393-3074

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	04/22/2016

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Directions to “UNITED HELPERS CARE INC ” Practice Location

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