Active NPI
Universal Design Solutions LLC
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1407318397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UNIVERSAL DESIGN SOLUTIONS LLC
- Practice address
- 11555 Central Pkwy Ste 1002
Jacksonville, FL 32224-2702 - Phone
- (904) 721-2225
- Fax
- (877) 430-2291
- NPI assigned
- Apr 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael D Jones, CRC
- Title
- Ceo
- Phone
- (904) 721-2225
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
11555 Central Pkwy Ste 1002
Jacksonville, FL 32224-2702
Mailing address
11555 Central Pkwy Ste 1002
Jacksonville, FL 32224-2702
Phone (904) 721-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105158800 | Medicaid | FL |
Other names 1
- Universal Design Solutions
National Provider Directory
National Provider DirectoryLocations
11555 Central Pkwy
Ste 1002
Jacksonville, FL 32224
Phone (904) 721-2225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1407318397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 CENTRAL PKWY STE 1002",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242702",
"telephone_number": "904-721-2225",
"fax_number": "877-430-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 CENTRAL PKWY STE 1002",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242702",
"telephone_number": "904-721-2225",
"fax_number": "877-430-2291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL DESIGN SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-721-2225",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRC"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105158800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Universal Design Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.