Organization Active NPI

Universal Homecare Private Duty, LLC

  • In Home Supportive Care Agency
  • Burton, MI
National Provider Identifier
1083856876
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNIVERSAL HOMECARE PRIVATE DUTY, LLC
Practice address
4199 Davison Rd
Suite C
Burton, MI 48509-1468
Phone
(810) 742-4353
Fax
(810) 742-4355
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Mrs. Judy A Ekong, RN
Title
VP/Administrator
Phone
(810) 742-4353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4199 Davison Rd
Suite C
Burton, MI 48509-1468

Mailing address

4199 Davison Rd
Suite C
Burton, MI 48509-1468
Phone (810) 742-4353

National Provider Directory

National Provider Directory

Locations

4199 Davison Rd
Ste C
Burton, MI 48509
Phone (810) 742-4353

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1083856876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 DAVISON RD",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091468",
            "telephone_number": "810-742-4353",
            "fax_number": "810-742-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 DAVISON RD",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091468",
            "telephone_number": "810-742-4353",
            "fax_number": "810-742-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HOMECARE PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP/ADMINISTRATOR",
        "authorized_official_telephone_number": "810-742-4353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.