Uci Group of Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UCI GROUP OF HEALTH CARE SERVICES, INC.

Doing business as

UCI Home Health Services

Practice address

16244 S Military TRL Ste 755
Delray Beach, FL 33484-6532

Phone

(561) 265-5251

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Fe A Hanvivatpong, RN

Title

Owner

Phone

(561) 265-5251

Specialties & licenses 1

Addresses

Other names 1

• UCI Home Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457636490. Details of each certification follow.

• CCN 683119 Home health agency · Active · Details

Home health agency certification: CCN 683119

Legal name

UCI GROUP OF HEALTH CARE SERVICES INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 16, 2013

Last certification

Oct 25, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 22, 2011 in FL

Enrollment address

16244 South Military Trail
Suite 755
Delray Beach, FL 33484-6532

Listed as

Uci Home Health ServicesCCN 683119 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Apr 16, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Uci Group of Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Uci Infusion Therapy

  • Infusion Therapy Clinic/Center
  • Delray Beach, FL
  • NPI 1831474386
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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.

• Mary Lou Abella, RN

  • Registered Nurse
  • Delray Beach, FL
  • NPI 1184309601
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1457636490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 755",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-265-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 755",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846532",
            "telephone_number": "561-265-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCI GROUP OF HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "HANVIVATPONG",
        "authorized_official_first_name": "FE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-265-5251",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashton Blake Tyree, PT, DPT
• Iliana Tzikas, PA-C
• Thomas Lewis Tzikas, M.D.
• U Turn
• Ubuntu Integrative Health LLC (Shannon M Mitchell)
• Uci Infusion Therapy
• Rachel Udo
• Matthew Uhde, DO
• Zaib A Ukani, M.D.
• Ultimate Care Inc.

• Home Health Agency in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.