Healthcare Provider Details

I. General information

NPI: 1093879801
Provider Name (Legal Business Name): UNIVERSAL HOMEHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 E WARM SPRINGS RD
LAS VEGAS NV
89119-4583
US

IV. Provider business mailing address

1945 E WARM SPRINGS RD
LAS VEGAS NV
89119-4583
US

V. Phone/Fax

Practice location:
  • Phone: 702-315-5501
  • Fax: 702-315-5505
Mailing address:
  • Phone: 702-315-5501
  • Fax: 702-315-5505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4170HHA-3
License Number StateNV

VIII. Authorized Official

Name: MS. ELIZABETH LOPEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-315-5501