Provider Demographics
NPI:1750738670
Name:UNIVERSAL MOBILE HEALTHCARE SYSTEMS INC
Entity type:Organization
Organization Name:UNIVERSAL MOBILE HEALTHCARE SYSTEMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHE CARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPA WAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-821-7969
Mailing Address - Street 1:1231 TECH CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-3029
Mailing Address - Country:US
Mailing Address - Phone:443-254-5046
Mailing Address - Fax:443-293-7157
Practice Address - Street 1:1231 TECH CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-3029
Practice Address - Country:US
Practice Address - Phone:443-254-5046
Practice Address - Fax:443-293-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X, 333600000X
MDPW0498332B00000X, 3336C0003X
MD314000000X, 343800000X, 332BC3200X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164607OtherPK