Healthcare Provider Details

I. General information

NPI: 1750853586
Provider Name (Legal Business Name): UBERTAS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 01/21/2022
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 E RIVER RD STE 100
TUCSON AZ
85718-5745
US

IV. Provider business mailing address

1050 E RIVER RD STE 100
TUCSON AZ
85718-5745
US

V. Phone/Fax

Practice location:
  • Phone: 520-327-2771
  • Fax: 520-327-3177
Mailing address:
  • Phone: 520-327-2771
  • Fax: 520-327-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RANDY GEYEN
Title or Position: PRESIDENT
Credential:
Phone: 520-327-2771