MEDICARE: UNIVERSAL ADULT DAYCARE 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1679427447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL ADULT DAYCARE LLC

Provider Business Mailing Address
First Line	:	1790 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2573
Country	:	US
Telephone Number	:	614-551-4947
Fax Number	:

Provider Business Practice Location Address
First Line	:	1790 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2573
Country	:	US
Telephone Number	:	614-551-4947
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	FARDOWSA A HASSAN
Credential	:
Telephone Number	:	614-551-4947

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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