Organization Active NPI

Universal Health Systems Inc

  • Home Health Agency
  • Gaithersburg, MD
National Provider Identifier
1619114469
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2619 Issued in MD
Legal business name
UNIVERSAL HEALTH SYSTEMS INC
Practice address
4 Professional Dr
Suite 149
Gaithersburg, MD 20879-3407
Phone
(301) 355-5272
Fax
(301) 355-5273
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Nkem D Olanrewaju
Title
Administrator
Phone
(301) 355-5272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2619 MD Primary

Addresses

Primary practice location

4 Professional Dr
Suite 149
Gaithersburg, MD 20879-3407

Mailing address

4 Professional Dr
Suite 149
Gaithersburg, MD 20879-3407
Phone (301) 355-5272

Other identifiers 2

IdentifierTypeStateIssuer
8046026-00MedicaidMD
8046034-00MedicaidMD

National Provider Directory

National Provider Directory

Locations

4 Professional Dr
Ste 149
Gaithersburg, MD 20879
Phone (301) 355-5272

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1619114469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL DR",
            "address_2": "SUITE 149",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793407",
            "telephone_number": "301-355-5272",
            "fax_number": "301-355-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL DR",
            "address_2": "SUITE 149",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793407",
            "telephone_number": "301-355-5272",
            "fax_number": "301-355-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "OLANREWAJU",
        "authorized_official_first_name": "NKEM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-355-5272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8046026-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8046034-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.