Universal Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

DO NOT REQUIRE Issued in MI

Legal business name

UNIVERSAL HOSPICE CARE, INC.

Practice address

24315 Northwestern Hwy
Ste# 102
Southfield, MI 48075-6815

Phone

(248) 799-9225

Fax

(248) 799-9223

NPI assigned

Feb 8, 2008

Last updated

Jul 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andre L Lee

Title

Administrator

Phone

(248) 799-9225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376721605. Details of each certification follow.

• CCN 231621 Hospice · Active · Details

Hospice certification: CCN 231621

Legal name

UNIVERSAL HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 5, 2011

Last certification

Feb 26, 2014

Ownership / control type

Proprietary - Other

Organization structure

CorporationProprietary

Incorporated

Nov 14, 2007 in MI

Enrollment address

24315 Northwestern Hwy
Ste 102
Southfield, MI 48075-6815

Listed as

Universal Hospice CareCCN 231621 · All quality measures

Ownership

For-Profit

Certified

Apr 5, 2011

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006

  5% Or Greater Indirect Ownership Interest, Corporate Officer

  CMS ownership
• Joram O Mogaka, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1255407631

  5% Or Greater Indirect Ownership Interest, Corporate Officer

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saadat U Iqbal

  • Physical Therapist
  • Southfield, MI
  • NPI 1386840767
  NPD
• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronald Y Barnett, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Livonia, MI
  • NPI 1760492011

  Hospice

  Care Compare affiliation
• Hassan A. Bazzi, D.O.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1457507006

  Hospice

  Care Compare affiliation
• Joram O Mogaka, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1255407631

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1376721605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24315 NORTHWESTERN HWY",
            "address_2": "STE# 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756815",
            "telephone_number": "248-799-9225",
            "fax_number": "248-799-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24315 NORTHWESTERN HWY",
            "address_2": "STE# 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756815",
            "telephone_number": "248-799-9225",
            "fax_number": "248-799-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-799-9225"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "DO NOT REQUIRE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• United Wellness Physical Therapy, LLC (United Wellness Physical Therapy)
• Universal Clinic P.C.
• Universal Clinic P.C.
• Universal Home Health Care,Inc.
• Universal Palliative Care Services PLLC
• Universal Rehabilitation Services Inc
• University Allergy & Asthma Center PLLC
• University Neurosurgical Associates PC (Michigan Head and Spine Institute)
• University Otolaryngology

• Community Based Hospice Care Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.