Provider Demographics
NPI:1710215694
Name:US UNIVERSAL HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:US UNIVERSAL HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLINS
Authorized Official - Middle Name:
Authorized Official - Last Name:IYAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-420-2968
Mailing Address - Street 1:423 W WHEATLAND RD STE 102
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4630
Mailing Address - Country:US
Mailing Address - Phone:972-780-5226
Mailing Address - Fax:972-780-4793
Practice Address - Street 1:423 W WHEATLAND RD STE 102
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4630
Practice Address - Country:US
Practice Address - Phone:972-780-5226
Practice Address - Fax:972-780-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health