NPIMap

Organization Active NPI

Universal Hospice Care LLC

  • Community Based Hospice Care Agency
  • Fremont, CA
National Provider Identifier
1932679149
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNIVERSAL HOSPICE CARE LLC
Practice address
48317 Avalon Heights Ter
Fremont, CA 94539-8005
Phone
(408) 807-1984
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Mr. Sunil Verma, PARTNER
Title
Vice President
Phone
(408) 805-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

48317 Avalon Heights Ter
Fremont, CA 94539-8005

Mailing address

48317 Avalon Heights Ter
Fremont, CA 94539-8005
Phone (408) 807-1984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200518002706 CA Part A Provider - Hospice 1951732361 Practice locations: Menlo Park, CA

Hospice certification: CCN A01787

Legal name
UNIVERSAL HOSPICE CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 20, 2020
Last certification
Aug 20, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
800 Roble Ave
Ste 108
Menlo Park, CA 94025-4908

Care Compare: Hospice

Medicare Care Compare
Listed as
Universal Hospice Care LLCCCN A01787
Ownership
For-Profit
Certified
Aug 20, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

44240 Fremont Blvd
Ste A
Fremont, CA 94538
Phone (408) 807-1984

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Todd a Farrer Individual Contracted Managing EmployeeMD; Mar 1, 2024
Renu Verma Individual 5% Or Greater Direct Ownership Interest Nov 5, 2018 33.4%
Corporate OfficerBoard Member Nov 5, 2018 33.4%
Neeru Verma Individual 5% Or Greater Direct Ownership Interest Nov 5, 2018 33.3%
Corporate OfficerTreasurer Nov 5, 2018 33.3%
W-2 Managing EmployeeAdministrator Nov 5, 2018 33.3%
Sunil Verma Individual 5% Or Greater Direct Ownership Interest Nov 5, 2018 33.3%
Corporate OfficerBoard Member Nov 5, 2018 33.3%
W-2 Managing EmployeeBoard Member Nov 5, 2018 33.3%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1932679149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48317 AVALON HEIGHTS TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398005",
            "telephone_number": "408-807-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48317 AVALON HEIGHTS TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398005",
            "telephone_number": "408-807-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-805-4108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARTNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.