MEDICARE: UNIVERSAL COMMUNITY SERVICES INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417570094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL COMMUNITY SERVICES INC.

Provider Business Mailing Address
First Line	:	3908 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	305-400-8904
Fax Number	:

Provider Business Practice Location Address
First Line	:	3908 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	786-703-3923
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HILDA MARIA FERNANDEZ CALANA
Credential	:
Telephone Number	:	786-564-7180

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	03/07/2024

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Directions to “UNIVERSAL COMMUNITY SERVICES INC. ” Practice Location

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