Provider Demographics
NPI:1184204000
Name:UNIVERSAL HEALTH NET SACRAMENTO
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH NET SACRAMENTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMENEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUSAFIEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-690-5224
Mailing Address - Street 1:12 HOLLYLEAF
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2130
Mailing Address - Country:US
Mailing Address - Phone:949-690-5224
Mailing Address - Fax:
Practice Address - Street 1:4366 AUBURN BLVD STE 112
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-4107
Practice Address - Country:US
Practice Address - Phone:949-690-5224
Practice Address - Fax:714-786-8671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health