MEDICARE: UNIVERSAL HOMEHEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	4170HHA-3	NV

General Provider Information

NPI Number	:	1093879801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HOMEHEALTH INC

Provider Business Mailing Address
First Line	:	1945 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4583
Country	:	US
Telephone Number	:	702-315-5501
Fax Number	:	702-315-5505

Provider Business Practice Location Address
First Line	:	1945 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4583
Country	:	US
Telephone Number	:	702-315-5501
Fax Number	:	702-315-5505

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ELIZABETH LOPEZ
Credential	:
Telephone Number	:	702-315-5501

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	11/12/2015

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