Provider Demographics
NPI:1992003420
Name:UNIVERSAL RESPIRATORY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:UNIVERSAL RESPIRATORY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIF - BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-213-0174
Mailing Address - Street 1:5827 DELANCEY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1207
Mailing Address - Country:US
Mailing Address - Phone:484-213-0174
Mailing Address - Fax:
Practice Address - Street 1:5827 DELANCEY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1207
Practice Address - Country:US
Practice Address - Phone:484-213-0174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========OtherEIN