Provider Demographics
NPI:1700824141
Name:UNIVERSAL NURSING SERVICE, INC.
Entity Type:Organization
Organization Name:UNIVERSAL NURSING SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:ROOKARD
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:330-434-7318
Mailing Address - Street 1:402 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1541
Mailing Address - Country:US
Mailing Address - Phone:330-434-7318
Mailing Address - Fax:330-434-0474
Practice Address - Street 1:402 E MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1541
Practice Address - Country:US
Practice Address - Phone:330-434-7318
Practice Address - Fax:330-434-0474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL NURSING SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-04
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH367264163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0596734Medicaid
OH0810822OtherMEDICAID WAIVER
OH0810822OtherMEDICAID WAIVER