Provider Demographics
NPI:1821525874
Name:UNIVERSAL HEALTHCARE GROUP LLC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTHCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER.ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURBOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-757-2410
Mailing Address - Street 1:7125 ORCHARD LAKE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3618
Mailing Address - Country:US
Mailing Address - Phone:248-757-2410
Mailing Address - Fax:248-757-2412
Practice Address - Street 1:4200 REGENT ST STE 247
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6229
Practice Address - Country:US
Practice Address - Phone:614-699-3002
Practice Address - Fax:833-247-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health