Provider Demographics
NPI:1639357973
Name:UNIVERSAL HOME HEALTHCARE OF INDIANA INC
Entity Type:Organization
Organization Name:UNIVERSAL HOME HEALTHCARE OF INDIANA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-286-3212
Mailing Address - Street 1:3601 HOBSON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-4527
Mailing Address - Country:US
Mailing Address - Phone:219-286-3212
Mailing Address - Fax:219-299-2101
Practice Address - Street 1:3601 HOBSON RD STE 102
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-4527
Practice Address - Country:US
Practice Address - Phone:219-286-3212
Practice Address - Fax:219-299-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200957820AMedicaid
157618Medicare PIN