Provider Demographics
NPI:1740516459
Name:UNIVITA HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:UNIVITA HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:SJOBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-516-6800
Mailing Address - Street 1:11000 PRAIRIE LAKES DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3885
Mailing Address - Country:US
Mailing Address - Phone:952-516-6800
Mailing Address - Fax:
Practice Address - Street 1:3700 COMMERCE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3912
Practice Address - Country:US
Practice Address - Phone:952-516-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management