NPIMap

Organization Active NPI

University Health Services, Inc.

Doing business as University Home Health

  • Home Health Agency
  • Martinez, GA
National Provider Identifier
1932157450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
036-R-0002 Issued in GA
Legal business name
UNIVERSITY HEALTH SERVICES, INC.
Doing business as
University Home Health
Practice address
4106 Columbia Rd
Suite 101
Martinez, GA 30907-1450
Phone
(706) 868-3220
Fax
(706) 868-3221
NPI assigned
May 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 036-R-0002 GA Primary

Addresses

Primary practice location

4106 Columbia Rd
Suite 101
Martinez, GA 30907-1450

Mailing address

4106 Columbia Rd
Suite 101
Martinez, GA 30907-1450
Phone (706) 868-3220

Other identifiers 1

IdentifierTypeStateIssuer
00926934AMedicaidGA

Other names 1

  • University Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University Hosp ER Serv3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932157450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 COLUMBIA RD",
            "address_2": "SUITE 101",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071450",
            "telephone_number": "706-868-3220",
            "fax_number": "706-868-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 COLUMBIA RD",
            "address_2": "SUITE 101",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071450",
            "telephone_number": "706-868-3220",
            "fax_number": "706-868-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "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": "036-R-0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926934A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.