Provider Demographics
NPI:1114701935
Name:UNIVERSAL HEALTHKARE SERVICE LLC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTHKARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-222-9161
Mailing Address - Street 1:9930 COLUMBUS AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-5014
Mailing Address - Country:US
Mailing Address - Phone:715-222-9161
Mailing Address - Fax:
Practice Address - Street 1:9930 COLUMBUS AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-5014
Practice Address - Country:US
Practice Address - Phone:715-222-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility