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UNIVERSAL SUPPORT AGENCY LLC. NPI 1508309162


NPI Information

NPI: 1508309162
Provider Name: UNIVERSAL SUPPORT AGENCY, LLC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4513 WINCHESTER LN
BROOKLYN CENTER, MN
ZIP 55429
Phone: (763) 951-9049
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UNIVERSAL SUPPORT AGENCY, LLC. is a community behavioral health in Brooklyn Center, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. UNIVERSAL SUPPORT AGENCY, LLC. NPI is 1508309162. The provider is registered as an organization entity type.

The provider's business location address is:

4513 WINCHESTER LN
BROOKLYN CENTER, MN
ZIP 55429-725
Phone: (763) 951-9049

The provider's authorized official is Richard Vue .
The authorized official title is Ceo/president and has the following contact phone number (763) 951-9049.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 11/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health08738MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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