Universal Home Care, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12469 Issued in FL

Legal business name

UNIVERSAL HOME CARE, INC

Practice address

4022 SW Bamberg St
Port St Lucie, FL 34953-7029

Phone

(772) 777-4123

Fax

(772) 249-5819

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Gregory Lilavois

Title

Administrator

Phone

(772) 284-0301

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1588080634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 SW BAMBERG ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537029",
            "telephone_number": "772-777-4123",
            "fax_number": "772-249-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 SW BAMBERG ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537029",
            "telephone_number": "772-777-4123",
            "fax_number": "772-249-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "LILAVOIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-284-0301"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002582900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bharat Upadhyay, MD
• Uplifthrt
• Kenneth J Urban, M.D.

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.