Provider Demographics
NPI:1306400650
Name:UNIVERSAL CARE LLC
Entity Type:Organization
Organization Name:UNIVERSAL CARE LLC
Other - Org Name:UNIVERSAL CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:JONGA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:615-457-2458
Mailing Address - Street 1:2213 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3312
Mailing Address - Country:US
Mailing Address - Phone:615-457-2458
Mailing Address - Fax:615-250-6283
Practice Address - Street 1:2213 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3312
Practice Address - Country:US
Practice Address - Phone:615-457-2458
Practice Address - Fax:615-250-6283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health