Healthcare Provider Details

I. General information

NPI: 1063886745
Provider Name (Legal Business Name): UNIVERSAL HOME HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 07/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 12TH ST SE SUITE G35
WASHINGTON DC
20003-3722
US

IV. Provider business mailing address

1220 12TH ST SE SUITE G35
WASHINGTON DC
20003-3722
US

V. Phone/Fax

Practice location:
  • Phone: 202-544-8090
  • Fax: 202-544-8091
Mailing address:
  • Phone: 202-544-8090
  • Fax: 202-544-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCA-0075
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. VONDELLA DENISE MCLAUGHLIN
Title or Position: PRESIDENT
Credential:
Phone: 202-544-8090