NPIMap

Organization Active NPI

M & T Universal Health Services, LLC

  • Home Health Agency
  • Springfield, VA
National Provider Identifier
1023342870
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-10596 Issued in VA
Legal business name
M & T UNIVERSAL HEALTH SERVICES, LLC
Practice address
6315 Backlick Rd Ste 308
Springfield, VA 22150
Phone
(571) 830-6812
Fax
(571) 830-6813
NPI assigned
Sep 28, 2009
Last updated
Sep 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Timothy Ayong, B.S.C, LPN
Title
Administrator
Phone
(571) 830-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-10596 VA Primary

Addresses

Primary practice location

6315 Backlick Rd Ste 308
Springfield, VA 22150

Mailing address

6315 Backlick Rd Ste 308
Springfield, VA 22150-2608
Phone (571) 830-6812

National Provider Directory

National Provider Directory

Locations

6315 Backlick Rd
Ste 308
Springfield, VA 22150
Phone (571) 830-6812

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1023342870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 BACKLICK RD STE 308",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502608",
            "telephone_number": "571-830-6812",
            "fax_number": "571-830-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 BACKLICK RD STE 308",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22150",
            "telephone_number": "571-830-6812",
            "fax_number": "571-830-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & T UNIVERSAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "AYONG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-830-6812",
        "authorized_official_credential": "B.S.C, LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-10596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.