MEDICARE: UNIVERSAL CARE SERVICES LLC

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	:	1649895327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 6352
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-0352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 S IVY ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-2431
Country	:	US
Telephone Number	:	703-226-9889
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE CARLOS ASTORGA CASTRO
Credential	:
Telephone Number	:	703-226-9889

Provider Enumeration Date	:	06/09/2020
Last Update Date	:	06/09/2020

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