Provider Demographics
NPI:1336594753
Name:UNIVERSAL NURSING SERVICES, LTD
Entity type:Organization
Organization Name:UNIVERSAL NURSING SERVICES, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-850-0042
Mailing Address - Street 1:3345 106TH CIR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3740
Mailing Address - Country:US
Mailing Address - Phone:515-280-2174
Mailing Address - Fax:515-225-4044
Practice Address - Street 1:4300 S TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-4212
Practice Address - Country:US
Practice Address - Phone:605-331-7997
Practice Address - Fax:605-331-7931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL NURSING SERVICES, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-04
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD3012805Medicaid
SD43K001OtherCERTIFICATION