United Supportive Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

17000592 Issued in CA

Legal business name

UNITED SUPPORTIVE SERVICES

Practice address

1652 W Texas St Ste 160
Fairfield, CA 94533-6080

Phone

(707) 398-6400

NPI assigned

May 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gurpreet Sandhu-Gake

Title

Cfo

Phone

(707) 398-7116

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376071217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 W TEXAS ST STE 160",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336080",
            "telephone_number": "707-398-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 W TEXAS ST STE 160",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336080",
            "telephone_number": "707-398-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANDHU-GAKE",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-398-7116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "17000592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fairfield, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.