- Enrollment id
- O20161109000604
- Enrollment state
- CO
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1720468192
- Multiple npi flag
- N
- Ccn
- 067559
- Associate id
- 9032498332
- Organization name
- UNIVERSAL HOME HEALTH CARE INC
- Incorporation date
- 2015-06-01
- Incorporation state
- CO
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2121 S ONEIDA ST
- Address line 2
- STE 470
- City
- DENVER
- State
- CO
- Zip code
- 802242553