Universal Healthcare Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UNIVERSAL HEALTHCARE HOLDINGS LLC

Practice address

5 Greenwood St
Hartford, CT 06106-2110

Phone

(860) 236-2901

Fax

(860) 233-1991

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Chris S Wright

Title

Manager

Phone

(860) 570-2140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARKVILLE CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075250A

Legal name

UNIVERSAL HEALTHCARE HOLDINGS LLC

Doing business as

PARKVILLE CARE CENTER

Organization structure

LLCProprietary

Enrollment address

5 Greenwood St
Hartford, CT 06106-2110

Nursing home name

PARKVILLE CARE CENTER

Affiliated entity

ICARE HEALTH NETWORK

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Securecare Options, LLC

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1760825376

  Vantage Capital Investors LLC

  CMS ownership
• Holyoke Care Center, LLC

  • Skilled Nursing Facility
  • Holyoke, MA
  • NPI 1255945325

  Vantage Capital Investors LLC

  CMS ownership

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1174097182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREENWOOD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062110",
            "telephone_number": "860-236-2901",
            "fax_number": "860-233-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREENWOOD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062110",
            "telephone_number": "860-236-2901",
            "fax_number": "860-233-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTHCARE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-570-2140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020081",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKVILLE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Anne Underhill, PHD
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• United Health Group
• Unitedhealthcare Insurance Company, Inc.
• University of Connecticut
• University of Connecticut- Hartford Hospital
• University of Connecticut/Capital Area Health Consortium
• Unlimited Family Services LLC
• Avninder Upadhyay

• Skilled Nursing Facility in Hartford, CT
• Providers in Hartford, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.