Provider Demographics
NPI:1932679149
Name:UNIVERSAL HOSPICE CARE LLC
Entity Type:Organization
Organization Name:UNIVERSAL HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:PARTNER
Authorized Official - Phone:408-805-4108
Mailing Address - Street 1:48317 AVALON HEIGHTS TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-8005
Mailing Address - Country:US
Mailing Address - Phone:408-807-1984
Mailing Address - Fax:
Practice Address - Street 1:48317 AVALON HEIGHTS TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-8005
Practice Address - Country:US
Practice Address - Phone:408-807-1984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherHOSPICE CARE