NPIMap

Organization Active NPI

Universal Rehab Services

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1043397060
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7765 Issued in OK
Legal business name
UNIVERSAL REHAB SERVICES
Practice address
114 NW 6TH St
#104
Oklahoma City, OK 73102-6027
Phone
(405) 272-0700
Fax
(405) 272-0701
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matthew Blake Murdock
Title
President
Phone
(405) 272-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7765 OK Primary

Addresses

Primary practice location

114 NW 6TH St
#104
Oklahoma City, OK 73102-6027

Mailing address

114 NW 6TH St
#104
Oklahoma City, OK 73102-6027
Phone (405) 272-0700

Other names 1

  • Universal Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000976 OK Part A Provider - Home Health Agency 9234049800 Practice locations: Oklahoma City, OK

Home health agency certification: CCN 377668

Legal name
UNIVERSAL REHAB SERVICES
Doing business as
UNIVERSAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 23, 2004
Last certification
Aug 13, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
114 NW 6TH St
Ste 104
Oklahoma City, OK 73102-6089

Care Compare: Home health agency

Medicare Care Compare
Listed as
Universal HealthcareCCN 377668
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Apr 23, 2004
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
37D1022921Universal Healthcare114 NW 6TH Street Suite 104, Oklahoma City, OK 73102Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

114 NW 6th St
Ste 103104
Oklahoma City, OK 73102
Phone (405) 272-0700

114 NW 6th St
Ste 104
Oklahoma City, OK 73102
Phone (405) 272-0700

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew Blake Murdock Individual 5% Or Greater Direct Ownership InterestPresident Oct 9, 2001
5% Or Greater Security Interest Oct 9, 2001
Operational/Managerial Control Oct 9, 2001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043397060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NW 6TH ST",
            "address_2": "#104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026027",
            "telephone_number": "405-272-0700",
            "fax_number": "405-272-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NW 6TH ST",
            "address_2": "#104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026027",
            "telephone_number": "405-272-0700",
            "fax_number": "405-272-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-272-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.