Healthcare Provider Details

I. General information

NPI: 1447920657
Provider Name (Legal Business Name): YOUNIVERSE CARE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2021
Last Update Date: 09/18/2021
Certification Date: 09/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 CLAYMORE BLVD
RICHMOND HEIGHTS OH
44143-1712
US

IV. Provider business mailing address

359 CLAYMORE BLVD
RICHMOND HEIGHTS OH
44143-1712
US

V. Phone/Fax

Practice location:
  • Phone: 216-801-5395
  • Fax:
Mailing address:
  • Phone: 216-801-5395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: SATOYIA HILL
Title or Position: OWNER
Credential:
Phone: 216-801-5396