MEDICARE: UNIVERSAL PREMIER CARE LLP

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

General Provider Information

NPI Number	:	1184506842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL PREMIER CARE LLP

Provider Business Mailing Address
First Line	:	6177 NORFOLK DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-4039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6177 NORFOLK DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-4039
Country	:	US
Telephone Number	:	440-223-7643
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIKA KHATIWADA
Credential	:
Telephone Number	:	440-223-7643

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	07/23/2025

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Directions to “UNIVERSAL PREMIER CARE LLP ” Practice Location

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