MEDICARE: UNIVERSAL HOMECARE 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

General Provider Information

NPI Number	:	1477664738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HOMECARE INC.

Provider Business Mailing Address
First Line	:	23900 ORCHARD LAKE RD
Second Line	:	SUITE 280
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2501
Country	:	US
Telephone Number	:	248-615-0001
Fax Number	:	248-615-0003

Provider Business Practice Location Address
First Line	:	23900 ORCHARD LAKE RD
Second Line	:	SUITE 280
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2501
Country	:	US
Telephone Number	:	248-615-0001
Fax Number	:	248-615-0003

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SALMAN ALI
Credential	:	RPT
Telephone Number	:	248-615-0001

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/10/2008

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