Provider Demographics
NPI:1215196746
Name:UNIVERSAL CARE
Entity Type:Organization
Organization Name:UNIVERSAL CARE
Other - Org Name:SOCIAL ASSISTANCE PERSONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL ASSISTANCE/PERSONAL CARE
Authorized Official - Prefix:
Authorized Official - First Name:SUNDRA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-752-6081
Mailing Address - Street 1:1414 26TH STREET
Mailing Address - Street 2:1414 26TH STREET
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-6642
Mailing Address - Country:US
Mailing Address - Phone:205-752-6081
Mailing Address - Fax:
Practice Address - Street 1:1414 26TH STREET
Practice Address - Street 2:1414 26TH STREET
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-6642
Practice Address - Country:US
Practice Address - Phone:205-752-6081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL102375310400000X, 311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility