Healthcare Provider Details

I. General information

NPI: 1770958134
Provider Name (Legal Business Name): UNIVERSAL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 RAINIER AVE S
SEATTLE WA
98118-2705
US

IV. Provider business mailing address

PO BOX 28082
SEATTLE WA
98118-1082
US

V. Phone/Fax

Practice location:
  • Phone: 206-434-6111
  • Fax:
Mailing address:
  • Phone: 206-383-5539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: CARAB AXMED
Title or Position: PRESIDENT
Credential:
Phone: 206-434-6111