OrganizationActive
Universal Healthcare System LLC
NPI 1740514165 · Pediatric Skilled Nursing Facility · Bronx, NY
Provider details
- NPI number
- 1740514165
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kaytana Johnson, Registered Nurse(917) 557-4477
- License
- 596963 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4328 Matilda Ave
Bronx, NY 10466-1315
Phone: (917) 557-4477
Approximate (ZIP-level) locationGet directions
Mailing address
4328 Matilda Ave
Bronx, NY 10466-1315
Registry dates
- Enumerated
- 2009-10-02
- Last updated
- 2009-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.