Provider Demographics
NPI:1780230292
Name:UNIVERSAL HOME CARE AGENCY OF NY
Entity type:Organization
Organization Name:UNIVERSAL HOME CARE AGENCY OF NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-419-4676
Mailing Address - Street 1:256 E 138TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-6424
Mailing Address - Country:US
Mailing Address - Phone:718-924-6881
Mailing Address - Fax:718-215-9064
Practice Address - Street 1:256 E 138TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-6424
Practice Address - Country:US
Practice Address - Phone:718-924-6881
Practice Address - Fax:718-215-9064
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL HOME CARE AGENCY OF NEW YORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health