NPIMap

Organization Active NPI

Universal Home Healthcare Inc.

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1063886745
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCA-0075 Issued in DC
Legal business name
UNIVERSAL HOME HEALTHCARE INC.
Practice address
1220 12TH St SE
Suite G35
Washington, DC 20003-3722
Phone
(202) 544-8090
Fax
(202) 544-8091
NPI assigned
Nov 18, 2015
Last updated
Jul 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Ms. Vondella Denise McLaughlin
Title
President
Phone
(202) 544-8090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCA-0075 DC Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1220 12TH St SE
Suite G35
Washington, DC 20003-3722

Mailing address

1220 12TH St SE
Suite G35
Washington, DC 20003-3722
Phone (202) 544-8090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302000124 DC Part A Provider - Home Health Agency 9133424005 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063886745. Details of each certification follow.

Home health agency certification: CCN 097072

Legal name
UNIVERSAL HOME HEALTHCARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2016
Last certification
May 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 13, 2015 in DC
Enrollment address
1220 12TH St SE
Ste G35
Washington, DC 20003-3738

Care Compare: Home health agency

Medicare Care Compare
Listed as
Universal Home Healthcare, IncCCN 097072 · All quality measures
Ownership
Proprietary
Certified
Jul 1, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
09D2115536Universal Home Healthcare Inc1220 12TH St, SE Suite G35, Washington, DC 20003Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

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
Vondella Denise McLaughlin Individual 5% Or Greater Direct Ownership InterestPresident Jul 13, 2015 100%
Corporate OfficerPresident Jul 13, 2015 100%
Corporate DirectorDirector Jul 13, 2015 100%
Operational/Managerial ControlPresident Jul 13, 2015 100%

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1063886745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE",
            "address_2": "SUITE G35",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033722",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE",
            "address_2": "SUITE G35",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033722",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "VONDELLA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-544-8090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HCA-0075",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.