Provider Demographics
NPI:1285331132
Name:UNIVERSAL CARE ACCESS LLC
Entity type:Organization
Organization Name:UNIVERSAL CARE ACCESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENSSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIME
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:917-647-5080
Mailing Address - Street 1:1339 E 83RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5101
Mailing Address - Country:US
Mailing Address - Phone:917-647-5080
Mailing Address - Fax:718-444-3791
Practice Address - Street 1:1711 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3319
Practice Address - Country:US
Practice Address - Phone:929-549-3345
Practice Address - Fax:718-444-3791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care