Provider Demographics
NPI:1437268281
Name:UNIVERSAL MEDICAL STAFFING, INC.
Entity Type:Organization
Organization Name:UNIVERSAL MEDICAL STAFFING, INC.
Other - Org Name:ALLIANCE HOME HEALTH CARE SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMKUIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-355-0100
Mailing Address - Street 1:529 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3993
Mailing Address - Country:US
Mailing Address - Phone:616-355-0100
Mailing Address - Fax:616-355-0617
Practice Address - Street 1:529 E 16TH ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3993
Practice Address - Country:US
Practice Address - Phone:616-355-0100
Practice Address - Fax:616-355-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4387929Medicaid