Provider Demographics
NPI:1952441628
Name:UNIVERSAL HEALTHCRE MANAGEMENT SERVICES, INC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTHCRE MANAGEMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-583-1181
Mailing Address - Street 1:3230 PENNSYLVANIA AVE SE STE 215
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3724
Mailing Address - Country:US
Mailing Address - Phone:202-583-1181
Mailing Address - Fax:202-583-1186
Practice Address - Street 1:3230 PENNSYLVANIA AVE SE STE 215
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3724
Practice Address - Country:US
Practice Address - Phone:202-583-1181
Practice Address - Fax:202-583-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC101YA0400X
DC036395200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC036395200Medicaid