NPIMap

Organization Active NPI

Universal in-Home Supportive Serivices

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1235537879
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
07-599063-B Issued in AZ
Legal business name
UNIVERSAL IN-HOME SUPPORTIVE SERIVICES
Practice address
3639 E Louise Dr
Phoenix, AZ 85050-8310
Phone
(480) 659-7561
Fax
(480) 659-8164
NPI assigned
Dec 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2014

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

Authorized official

Name
Mr. Viktor Stern
Title
Manager
Phone
(480) 659-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 07-599063-B AZ Primary

Addresses

Primary practice location

3639 E Louise Dr
Phoenix, AZ 85050-8310

Mailing address

3639 E Louise Dr
Phoenix, AZ 85050-8310
Phone (480) 659-7561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418515200000",
    "number": "1235537879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 E LOUISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508310",
            "telephone_number": "480-659-7561",
            "fax_number": "480-659-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 E LOUISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508310",
            "telephone_number": "480-659-7561",
            "fax_number": "480-659-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL IN-HOME SUPPORTIVE SERIVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "VIKTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-659-7561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "07-599063-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; 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.