Active NPI
Universal Health Partners, Inc
- Assisted Living Facility
- Sauk Rapids, MN
National Provider Identifier
1427763580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- UNIVERSAL HEALTH PARTNERS, INC
- Practice address
- 1420 2ND St N
Sauk Rapids, MN 56379-2533 - Phone
- (320) 774-1546
- NPI assigned
- Jan 23, 2023
- 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
- Amin Yousuf
- Title
- Ceo
- Phone
- (763) 744-7960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1420 2ND St N
Sauk Rapids, MN 56379-2533
Mailing address
12348 3Rd St NE
Blaine, MN 55434-1982
Phone (763) 744-7960
Other names 1
- Wildwood Assisted Living
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2124479 | Universal Health Partners, Inc Dba | Certificate of waiver | Jan 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1427763580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12348 3RD ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554341982",
"telephone_number": "763-744-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 2ND ST N",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563792533",
"telephone_number": "320-774-1546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL HEALTH PARTNERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-16",
"status": "A",
"authorized_official_last_name": "YOUSUF",
"authorized_official_first_name": "AMIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-744-7960"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Direct",
"affiliation": "N",
"address_1": "1420 2nd St N",
"city": "Sauk Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "563792533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Wildwood Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.