MEDICARE: UNIVERSAL HOME CARE 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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1770958134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HOME CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 28082
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1082
Country	:	US
Telephone Number	:	206-383-5539
Fax Number	:

Provider Business Practice Location Address
First Line	:	5811 RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2705
Country	:	US
Telephone Number	:	206-434-6111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARAB AXMED
Credential	:
Telephone Number	:	206-434-6111

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	04/24/2026

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