Active NPI
Universal Health Net Monterey, Inc.
- Community Based Hospice Care Agency
- Monterey, CA
National Provider Identifier
1811454283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- UNIVERSAL HEALTH NET MONTEREY, INC.
- Practice address
- 824 Munras Ave Ste C
Monterey, CA 93940-3121 - Phone
- (949) 690-5224
- NPI assigned
- Feb 21, 2019
- 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
- Miss Ameneh Abusafieh
- Title
- Owner/ Administrator
- Phone
- (949) 690-5224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
824 Munras Ave Ste C
Monterey, CA 93940-3121
Mailing address
12 Hollyleaf
Aliso Viejo, CA 92656-2130
Phone (949) 690-5224
Other names 1
- Universal Health Net Monterey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190813001927 | CA | Part A Provider - Hospice | 7810224938 | Practice locations: Monterey, CA |
Hospice certification: CCN A01741
- Legal name
- UNIVERSAL HEALTH NET MONTEREY, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 8, 2020
- Last certification
- Jun 8, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 824 Munras Ave
Ste C
Monterey, CA 93940-3121
Care Compare: Hospice
Medicare Care Compare- Listed as
- Universal Health Net Monterey, Inc
- Ownership
- For-Profit
- Certified
- Jun 8, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
824 Munras Ave
Ste C
Monterey, CA 93940
Phone (831) 920-3740
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 |
|---|---|---|---|
| S Todd Mitchell | W-2 Managing Employee | Jun 28, 2023 | |
| Ameneh Abusafieh | 5% Or Greater Direct Ownership Interest | Mar 14, 2018 | 100% |
| Corporate Officer | Mar 14, 2018 | 100% | |
| Corporate Director | Mar 14, 2018 | 100% | |
| Operational/Managerial Control | Mar 14, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Watsonville, CA
- NPI 1518027630
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1811454283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HOLLYLEAF",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562130",
"telephone_number": "949-690-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 MUNRAS AVE STE C",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403121",
"telephone_number": "949-690-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL HEALTH NET MONTEREY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-21",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "ABUSAFIEH",
"authorized_official_first_name": "AMENEH",
"authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
"authorized_official_telephone_number": "949-690-5224",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Universal Health Net Monterey",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Universal Health Net Monterey",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.