=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629161609
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNIVERSAL HOME HEALTHCARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8603 S DIXIE HWY STE 310
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33143-7829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-665-8101
-----------------------------------------------------
Fax | 305-665-8208
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8603 S DIXIE HWY STE 310
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33143-7829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-665-8101
-----------------------------------------------------
Fax | 305-665-8208
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. HENRY GARCIA
-----------------------------------------------------
Credential | MPT
-----------------------------------------------------
Telephone | 305-665-8101
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------