Provider Demographics
NPI:1417570094
Name:UNIVERSAL COMMUNITY SERVICES INC.
Entity Type:Organization
Organization Name:UNIVERSAL COMMUNITY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:FERNANDEZ CALANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-564-7180
Mailing Address - Street 1:3908 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4105
Mailing Address - Country:US
Mailing Address - Phone:305-400-8904
Mailing Address - Fax:
Practice Address - Street 1:3908 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4105
Practice Address - Country:US
Practice Address - Phone:786-703-3923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder