Organization Active NPI

US Universal Health Care Services LLC

  • Home Health Agency
  • Duncanville, TX
National Provider Identifier
1710215694
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Mr. Collins IyamahNPI 1366118671
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 747826
Ownership
Non-Profit
Certified
Feb 25, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2031433US Universal Health Care Services, LLC423 W Wheatland Rd Suite 102, Duncanville, TX 75116Certificate of waiverOct 18, 2027
45D2249934US Universal Health Care Services, LLC423 W Wheatland Rd #102, Duncanville, TX 75116Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Anthony Isitor Iyamah Individual 5% Or Greater Direct Ownership InterestOwner Feb 5, 2009 50%
Operational/Managerial ControlOwner Feb 5, 2009 50%
Collins Iyamah Individual 5% Or Greater Direct Ownership InterestOwner Feb 5, 2009 50%
Operational/Managerial ControlOwner 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.

Practitioners & affiliated clinicians

Practitioners 2

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

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

Verify at the official NPI Registry.