Universal Support Agency, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

08738 Issued in MN

Legal business name

UNIVERSAL SUPPORT AGENCY, LLC.

Practice address

4513 Winchester LN
Brooklyn Center, MN 55429-1725

Phone

(763) 951-9049

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Richard VueNPI 1437692092

Title

Ceo/President

Phone

(763) 951-9049

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Vue

  • Clinical Social Worker
  • Brooklyn Center, MN
  • NPI 1437692092
  NPD (past) Authorized official

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1508309162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 WINCHESTER LN",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 WINCHESTER LN",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291725",
            "telephone_number": "763-951-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL SUPPORT AGENCY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "VUE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "763-951-9049"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "08738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.