Active NPI
Universal Medical Staffing Agency,LLC
- Nursing Care Agency
- Grove City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 527600712
- Legal business name
- UNIVERSAL MEDICAL STAFFING AGENCY,LLC
- Practice address
- 3886 Broadway Ste B
Grove City, OH 43123-2207 - Phone
- (614) 274-9092
- Fax
- (614) 369-4883
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aminata Mansaray, RN-BSN
- Title
- Ceo/Director
- Phone
- (614) 274-9092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | 527600712 | OH | Primary |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
3886 Broadway Ste B
Grove City, OH 43123-2207
Mailing address
3886 Broadway Ste B
Grove City, OH 43123-2207
Phone (614) 274-9092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097868 | Medicaid | OH |
Other names 1
- Universal Medical Staffing & Home HealthCare LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120712000084 | OH | Part A Provider - Home Health Agency | 0941465215 | Practice locations: Grove City, OH |
Home health agency certification: CCN 369025
- Legal name
- UNIVERSAL MEDICAL STAFFING AGENCY,LLC
- Doing business as
- UNIVERSAL MEDICAL STAFFING & HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 15, 2013
- Last certification
- Jun 8, 2017
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 3886 Broadway
Ste B
Grove City, OH 43123-2207
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Universal Medical Staffing & Home Healthcare
- Ownership
- Proprietary
- Certified
- Aug 15, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2009195 | Universal Medical Staffing Agency LLC | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
3225 W Broad St
Ste B
Columbus, OH 43204
Phone (614) 276-4270
4086 Broadway
Ste 201
Grove City, OH 43123
3886 Broadway
Ste B
Grove City, OH 43123
Phone (614) 274-9092
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Universal Medical Staffing Agency,LLC | 5% Or Greater Direct Ownership Interest | Oct 23, 2009 | 100% |
| Aminata Mansaray | Contracted Managing Employee | Oct 23, 2009 | |
| 5% Or Greater Direct Ownership Interest | Oct 23, 2009 | ||
| Corporate Officer | Oct 23, 2009 | ||
| Corporate Director | Oct 23, 2009 | ||
| W-2 Managing Employee | Oct 23, 2009 | ||
| Operational/Managerial Control | Oct 23, 2009 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Grove City, OH
- NPI 1326272899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1003139403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3886 BROADWAY STE B",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232207",
"telephone_number": "614-274-9092",
"fax_number": "614-369-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3886 BROADWAY STE B",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232207",
"telephone_number": "614-274-9092",
"fax_number": "614-369-4883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL MEDICAL STAFFING AGENCY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-12",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "MANSARAY",
"authorized_official_first_name": "AMINATA",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "614-274-9092",
"authorized_official_credential": "RN-BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "OH",
"license": "527600712",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097868",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Universal Medical Staffing & Home HealthCare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.