Provider Demographics
NPI:1841232188
Name:UNIVERSAL HOME CARE INC.
Entity Type:Organization
Organization Name:UNIVERSAL HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-653-9222
Mailing Address - Street 1:151 N SAN VICENTE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2323
Mailing Address - Country:US
Mailing Address - Phone:323-653-9222
Mailing Address - Fax:323-852-6768
Practice Address - Street 1:151 N SAN VICENTE BLVD
Practice Address - Street 2:STE 200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2323
Practice Address - Country:US
Practice Address - Phone:323-653-9222
Practice Address - Fax:323-852-6768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57669FMedicaid
CAHHA57669FMedicaid