Provider Demographics
NPI:1710397591
Name:UNIVERSAL ASSESSMENT SERVICES PLUS.LLC
Entity type:Organization
Organization Name:UNIVERSAL ASSESSMENT SERVICES PLUS.LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KONRAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSC,MHA
Authorized Official - Phone:914-400-9955
Mailing Address - Street 1:100 MAMARONECK STE307
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543
Mailing Address - Country:US
Mailing Address - Phone:914-400-9955
Mailing Address - Fax:914-698-6984
Practice Address - Street 1:100 MAMARONECK AVE STE 307
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3753
Practice Address - Country:US
Practice Address - Phone:914-400-9955
Practice Address - Fax:914-698-6984
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL ASSESSMENT SERVICES PLUS, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 251E00000X, 273Y00000X, 311500000X
NY261QA0600X, 310400000X, 320900000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No273Y00000XHospital UnitsRehabilitation Unit
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities