Active NPI
US Universal Health Care Services LLC
- Home Health Agency
- Duncanville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- US UNIVERSAL HEALTH CARE SERVICES LLC
- Practice address
- 423 W Wheatland Rd Ste 102
Duncanville, TX 75116-4630 - Phone
- (972) 780-5226
- Fax
- (972) 780-4793
- NPI assigned
- Dec 3, 2009
- 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
- Mr. Collins Iyamah
- Title
- Owner/Administrator
- Phone
- (817) 420-2968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
423 W Wheatland Rd Ste 102
Duncanville, TX 75116-4630
Mailing address
423 W Wheatland Rd Ste 102
Duncanville, TX 75116-4630
Phone (972) 780-5226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120612000298 | TX | Part A Provider - Home Health Agency | 7911161534 | Practice locations: Duncanville, TX |
Home health agency certification: CCN 747826
- Legal name
- US UNIVERSAL HEALTH CARE SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 25, 2013
- Last certification
- Dec 14, 2018
- Ownership / control type
- Non-Profit
- Organization structure
- LLC
- Incorporated
- Feb 5, 2009 in TX
- Enrollment address
- 423 W Wheatland Rd
Ste 102
Duncanville, TX 75116-4630
Care Compare: Home health agency
Medicare Care Compare- Listed as
- US Universal Health Care Services LLC
- Ownership
- Non-Profit
- Certified
- Feb 25, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 45D2031433 | US Universal Health Care Services, LLC | Certificate of waiver | Oct 18, 2027 |
| 45D2249934 | US Universal Health Care Services, LLC | Certificate of waiver | Jan 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
423 W Wheatland Rd
Ste 102
Duncanville, TX 75116
Phone (972) 780-0763
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Anthony Isitor Iyamah | 5% Or Greater Direct Ownership Interest | Feb 5, 2009 | 50% |
| Operational/Managerial Control | Feb 5, 2009 | 50% | |
| Collins Iyamah | 5% Or Greater Direct Ownership Interest | Feb 5, 2009 | 50% |
| Operational/Managerial Control | Feb 5, 2009 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Irving, TX
- NPI 1992416978
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1366118671
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1366118671
-
- Family Nurse Practitioner
- Irving, TX
- NPI 1992416978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1710215694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 W WHEATLAND RD STE 102",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164630",
"telephone_number": "972-780-5226",
"fax_number": "972-780-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 W WHEATLAND RD STE 102",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164630",
"telephone_number": "972-780-5226",
"fax_number": "972-780-4793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US UNIVERSAL HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-03",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "IYAMAH",
"authorized_official_first_name": "COLLINS",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "817-420-2968",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.