Provider Demographics
NPI:1568006229
Name:UNIVERSAL HOME CARE SERVICES 2, LLC
Entity Type:Organization
Organization Name:UNIVERSAL HOME CARE SERVICES 2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:IHEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-253-6973
Mailing Address - Street 1:2620 TWINBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-9835
Mailing Address - Country:US
Mailing Address - Phone:980-253-6973
Mailing Address - Fax:
Practice Address - Street 1:3325 WASHBURN AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7024
Practice Address - Country:US
Practice Address - Phone:980-253-6973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health