Provider Demographics
NPI:1114072329
Name:UNIVERSAL HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:UNIVERSAL HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEN
Authorized Official - Middle Name:JAMA
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-547-0282
Mailing Address - Street 1:4889 SINCLAIR RD STE 105
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5433
Mailing Address - Country:US
Mailing Address - Phone:614-547-0282
Mailing Address - Fax:614-547-0284
Practice Address - Street 1:4889 SINCLAIR RD STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5433
Practice Address - Country:US
Practice Address - Phone:614-547-0282
Practice Address - Fax:614-547-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2495152Medicaid
OH368057Medicare Oscar/Certification