MEDICARE: UNIVERSAL HOME HEALTH CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HCO-10616	VA

General Provider Information

NPI Number	:	1235461781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	6521 ARLINGTON BLVD STE 402
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3009
Country	:	US
Telephone Number	:	703-532-1928
Fax Number	:	703-533-1694

Provider Business Practice Location Address
First Line	:	6521 ARLINGTON BLVD
Second Line	:	SUITE 402
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3016
Country	:	US
Telephone Number	:	703-532-1928
Fax Number	:	703-533-1694

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. TAHIR MAHMOOD
Credential	:	P.T.
Telephone Number	:	301-613-8923

Provider Enumeration Date	:	02/09/2010
Last Update Date	:	02/09/2010

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