Provider Demographics
NPI:1689496440
Name:UCP OF WESTERN MASSACHUSETTS INC
Entity type:Organization
Organization Name:UCP OF WESTERN MASSACHUSETTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-442-1562
Mailing Address - Street 1:75 S CHURCH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6157
Mailing Address - Country:US
Mailing Address - Phone:413-442-1562
Mailing Address - Fax:413-224-9281
Practice Address - Street 1:208 WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5703
Practice Address - Country:US
Practice Address - Phone:413-442-1562
Practice Address - Fax:413-224-9281
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UCP OF WESTERN MASSACHUSETTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency