Provider Demographics
NPI:1003343054
Name:UNIVERSAL HEALTHCARE GROUP LLC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTHCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-346-0546
Mailing Address - Street 1:13003 WEATHERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3645
Mailing Address - Country:US
Mailing Address - Phone:248-686-3966
Mailing Address - Fax:
Practice Address - Street 1:13003 WEATHERFIELD DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3645
Practice Address - Country:US
Practice Address - Phone:248-686-3966
Practice Address - Fax:248-686-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2017-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health