Active NPI
United Care Solutions
- Case Management Agency
- Ruther Glen, VA
National Provider Identifier
1386096089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 0172358340
- Legal business name
- UNITED CARE SOLUTIONS
- Practice address
- 733 Lake Caroline Dr
Ruther Glen, VA 22546-5310 - Phone
- (804) 589-1448
- Fax
- (804) 589-0346
- NPI assigned
- Jul 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roganda Byrd-Freeman
- Title
- Administrator/Owner
- Phone
- (804) 589-1448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 0172358340 | VA | Primary |
Addresses
Primary practice location
733 Lake Caroline Dr
Ruther Glen, VA 22546-5310
Mailing address
733 Lake Caroline Dr
Ruther Glen, VA 22546-5310
Phone (804) 589-1448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0172358340 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467763200000",
"number": "1386096089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 LAKE CAROLINE DR",
"city": "RUTHER GLEN",
"state": "VA",
"postal_code": "225465310",
"telephone_number": "804-589-1448",
"fax_number": "804-589-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 LAKE CAROLINE DR",
"city": "RUTHER GLEN",
"state": "VA",
"postal_code": "225465310",
"telephone_number": "804-589-1448",
"fax_number": "804-589-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CARE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A",
"authorized_official_last_name": "BYRD-FREEMAN",
"authorized_official_first_name": "ROGANDA",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "804-589-1448",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "VA",
"license": "0172358340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0172358340",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruther Glen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.