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Organization
UNITED CARE HOME HEALTHCARE AGENCY, INC.
Active
Organization
UNITED CARE HOME HEALTHCARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANNA KORCHINSKAYA REGISTERED NURSE (DIRECTOR OF NURSING PATIENT CARE SE)
(818) 892-3010
Entity
Organization
Contact information
Practice address
16921 PARTHENIA STREET, SUITE 303A, NORTH HILLS, CA 91343-4559
(818) 892-3040
(818) 892-3044
Mailing address
16921 PARTHENIA STREET, SUITE 303A, NORTH HILLS, CA 91343-4559
(818) 892-3040
(818) 892-3044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058375
MEDICARE PROVIDER NUMBER
CA
01
—
550000214
LICENSE NUMBER
CA
Enumeration date
01/11/2007
Last updated
07/19/2011
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