NPIMap

Organization Active NPI

Universal Health Community Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medley, FL
National Provider Identifier
1740045236
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNIVERSAL HEALTH COMMUNITY SERVICE LLC
Practice address
8551 NW South River Dr
Medley, FL 33166-7426
Phone
(305) 603-9344
Fax
(305) 631-2180
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Jairo Alfonso Villamizar Pardo
Title
Authorized Official
Phone
(786) 961-8512

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

8551 NW South River Dr
Medley, FL 33166-7426

Mailing address

8551 NW South River Dr
Medley, FL 33166-7426
Phone (305) 603-9344

Other names 2

  • UNIVERSAL HEALTH COMMUNITY SERVICE Doing business as
  • UNIVERSAL HEALTH COMMUNITY SERVICE LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007002098 FL Part B Supplier - Clinic/Group Practice 1557892114 Receives reassigned benefits from 2 practitioners
Practice locations: Medley, FL

National Provider Directory

National Provider Directory
Tax ID family
Universal Health Community Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1740045236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 NW SOUTH RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667426",
            "telephone_number": "305-603-9344",
            "fax_number": "305-631-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 NW SOUTH RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667426",
            "telephone_number": "305-603-9344",
            "fax_number": "305-631-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH COMMUNITY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "VILLAMIZAR PARDO",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-961-8512"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL HEALTH COMMUNITY SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIVERSAL HEALTH COMMUNITY SERVICE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.