Organization Active NPI

Universal Health Net Sacramento

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1184204000
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNIVERSAL HEALTH NET SACRAMENTO
Practice address
4366 Auburn Blvd Ste 112
Sacramento, CA 95841-4107
Phone
(949) 690-5224
Fax
(714) 786-8671
NPI assigned
Apr 13, 2021
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Ameneh Abusafieh, RN
Title
Ceo
Phone
(949) 690-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4366 Auburn Blvd Ste 112
Sacramento, CA 95841-4107

Mailing address

12 Hollyleaf
Aliso Viejo, CA 92656-2130
Phone (949) 690-5224

National Provider Directory

National Provider Directory

Locations

4366 Auburn Blvd
Ste 112
Sacramento, CA 95841

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1184204000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOLLYLEAF",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562130",
            "telephone_number": "949-690-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 AUBURN BLVD STE 112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414107",
            "telephone_number": "949-690-5224",
            "fax_number": "714-786-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH NET SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ABUSAFIEH",
        "authorized_official_first_name": "AMENEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-690-5224",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.