Provider Demographics
NPI:1902681349
Name:UNION ALLIANCE CARE HOME
Entity Type:Organization
Organization Name:UNION ALLIANCE CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-440-7005
Mailing Address - Street 1:1990 N CALIFORNIA BLVD # 20-1151
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3742
Mailing Address - Country:US
Mailing Address - Phone:510-440-7005
Mailing Address - Fax:
Practice Address - Street 1:1667 BEDFORD CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5527
Practice Address - Country:US
Practice Address - Phone:510-440-7005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home