Provider Demographics
NPI:1720885635
Name:UNIVERSAL HOME CARE
Entity type:Organization
Organization Name:UNIVERSAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ENGSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-618-0156
Mailing Address - Street 1:1270 BRIGHTON PL
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-9334
Mailing Address - Country:US
Mailing Address - Phone:317-618-0156
Mailing Address - Fax:
Practice Address - Street 1:1270 BRIGHTON PL
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9334
Practice Address - Country:US
Practice Address - Phone:317-618-0156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health