Healthcare Provider Details

I. General information

NPI: 1487285490
Provider Name (Legal Business Name): CAREUNIVERSAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 N FULTON AVE
MOUNT VERNON NY
10552-2214
US

IV. Provider business mailing address

57 W 57TH ST FL 4
NEW YORK NY
10019-2827
US

V. Phone/Fax

Practice location:
  • Phone: 347-282-0458
  • Fax:
Mailing address:
  • Phone: 914-619-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: OMOBOLA F OPAWOYE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 914-619-8098