Southern Universal Health Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN UNIVERSAL HEALTH SERVICES LLC

Practice address

20681 NW 17TH Ave Apt 203
Miami Gardens, FL 33056-5036

Phone

(407) 718-7711

NPI assigned

Jun 24, 2022

Organization subpart

No

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

Authorized official

Name

Teneille S White

Title

Chief Executive Officer

Phone

(407) 718-7711

Specialties & licenses 1

Addresses

Other names 1

• Southern Universal Health Services Former legal business name

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1114659695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20681 NW 17TH AVE APT 203",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330565036",
            "telephone_number": "407-718-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20681 NW 17TH AVE APT 203",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330565036",
            "telephone_number": "407-718-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UNIVERSAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TENEILLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-718-7711"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Universal Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Southern Universal Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.