Provider Demographics
NPI:1871914408
Name:A1 UNIVERSAL CARE INC
Entity type:Organization
Organization Name:A1 UNIVERSAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISNISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABUBAKAR
Authorized Official - Middle Name:HUSSEIN
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:N
Authorized Official - Phone:480-382-8868
Mailing Address - Street 1:8050 N 19TH AVE
Mailing Address - Street 2:182
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5160
Mailing Address - Country:US
Mailing Address - Phone:480-382-8868
Mailing Address - Fax:
Practice Address - Street 1:2529 W VISTA AVE
Practice Address - Street 2:102
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-6783
Practice Address - Country:US
Practice Address - Phone:480-382-8868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness