Organization Active NPI

Universal Medical Staffing Agency,LLC

  • Nursing Care Agency
  • Grove City, OH
National Provider Identifier
1003139403
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
527600712 Issued in OH
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

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aminata Mansaray, RN-BSNNPI 1326272899
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0097868MedicaidOH

Other names 1

  • Universal Medical Staffing & Home HealthCare LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
3886 Broadway
Ste B
Grove City, OH 43123-2207
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Universal Medical Staffing & Home HealthcareCCN 369025
Ownership
Proprietary
Certified
Aug 15, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2009195Universal Medical Staffing Agency LLC3886 Broadway, Suite B, Grove City, OH 43123Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Universal Medical Staffing Agency,LLC Organization, Grove City, OH LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 23, 2009 100%
Aminata Mansaray Individual 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.

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

Verify at the official NPI Registry.