Provider Demographics
NPI:1730353970
Name:UNION CITY CARE CENTER INC
Entity type:Organization
Organization Name:UNION CITY CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALASCOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-333-2132
Mailing Address - Street 1:2226 WOOSTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-2749
Mailing Address - Country:US
Mailing Address - Phone:440-333-2132
Mailing Address - Fax:440-333-2132
Practice Address - Street 1:907 E CENTRAL ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:OH
Practice Address - Zip Code:45390-1605
Practice Address - Country:US
Practice Address - Phone:937-968-5284
Practice Address - Fax:937-968-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2818839Medicaid
OH2818839Medicaid