Organization Active NPI

Universal Health Net Monterey, Inc.

  • Community Based Hospice Care Agency
  • Monterey, CA
National Provider Identifier
1811454283
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 5, 2024

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
824 Munras Ave
Ste C
Monterey, CA 93940-3121

Care Compare: Hospice

Medicare Care Compare
Listed as
Universal Health Net Monterey, IncCCN A01741 · All quality measures
Ownership
For-Profit
Certified
Jun 8, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
S Todd Mitchell Individual W-2 Managing EmployeeMD; Jun 28, 2023
Ameneh Abusafieh Individual 5% Or Greater Direct Ownership InterestCeo Mar 14, 2018 100%
Corporate OfficerCeo Mar 14, 2018 100%
Corporate DirectorAdminstrator Mar 14, 2018 100%
Operational/Managerial ControlCeo 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.

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

Verify at the official NPI Registry.