Provider Demographics
NPI:1417253014
Name:UNIVERSAL INDEMNITY GROUP
Entity Type:Organization
Organization Name:UNIVERSAL INDEMNITY GROUP
Other - Org Name:VINEYARD BENEFITS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINWOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:404-248-7754
Mailing Address - Street 1:235 PEACHTREE ST
Mailing Address - Street 2:SUITE #400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1401
Mailing Address - Country:US
Mailing Address - Phone:404-248-7754
Mailing Address - Fax:404-537-7716
Practice Address - Street 1:235 PEACHTREE ST
Practice Address - Street 2:SUITE #400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1401
Practice Address - Country:US
Practice Address - Phone:404-248-7754
Practice Address - Fax:404-537-7716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies