University Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

017-212 Issued in GA

Legal business name

UNIVERSITY HEALTH SERVICES, INC.

Doing business as

University Home Health Waynesboro

Practice address

107 Dogwood Dr
Waynesboro, GA 30830-5448

Phone

(706) 554-7013

Fax

(706) 554-7016

NPI assigned

May 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Moore

Title

Exec VP/Coo

Phone

(706) 722-9011

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• University Home Health Waynesboro Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG CLXV, LLC

  dba University Home Health Services

  • Home Health Agency
  • Waynesboro, GA
  • NPI 1467063529

  Sold to, 2020-10-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912955105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DOGWOOD DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308305448",
            "telephone_number": "706-554-7013",
            "fax_number": "706-554-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DOGWOOD DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308305448",
            "telephone_number": "706-554-7013",
            "fax_number": "706-554-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXEC VP/COO",
        "authorized_official_telephone_number": "706-722-9011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "017-212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00763936A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "6659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Home Health Waynesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.