Provider Demographics
NPI:1578806402
Name:UNIVITA HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:UNIVITA HEALTHCARE SOLUTIONS LLC
Other - Org Name:UNIVITA SOLUTIONS HOME HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:952-516-6935
Mailing Address - Street 1:15800 SW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4222
Mailing Address - Country:US
Mailing Address - Phone:954-333-1027
Mailing Address - Fax:
Practice Address - Street 1:15800 SW 25TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4222
Practice Address - Country:US
Practice Address - Phone:954-333-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVITA HEALTHCARE SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-28
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization