Provider Demographics
NPI:1366426231
Name:UNIVERSAL HEALTH CARE GROUP, INC.
Entity type:Organization
Organization Name:UNIVERSAL HEALTH CARE GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-347-3070
Mailing Address - Street 1:2547 WASHINGTON RD
Mailing Address - Street 2:SUITE 720
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2557
Mailing Address - Country:US
Mailing Address - Phone:412-347-3070
Mailing Address - Fax:412-347-3071
Practice Address - Street 1:2547 WASHINGTON RD
Practice Address - Street 2:SUITE 720
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2557
Practice Address - Country:US
Practice Address - Phone:412-347-3070
Practice Address - Fax:412-347-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA767405251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001587621Medicaid
PA0001587621Medicaid