Organization Active NPI

Universal Design Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1407318397
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 1, 2022

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
105158800MedicaidFL

Other names 1

  • Universal Design Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.