Provider Demographics
NPI:1730736638
Name:UNITED PLEDGE HOME HEALTH LLC
Entity type:Organization
Organization Name:UNITED PLEDGE HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:HULING
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CWON
Authorized Official - Phone:561-910-8770
Mailing Address - Street 1:6501 CONGRESS AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2840
Mailing Address - Country:US
Mailing Address - Phone:561-910-8770
Mailing Address - Fax:
Practice Address - Street 1:6501 CONGRESS AVE STE 240
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2840
Practice Address - Country:US
Practice Address - Phone:561-910-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-25
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health