UNIVERSAL HEALTH CARE / KING, INC (NPI# 1629047279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629047279 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL HEALTH CARE / KING, INC |
| Other Organization Name | UNIVERSAL HEALTH CARE / KING |
| Practice Address |
115 White Rd King NC 27021-9526 |
| Practice Telephone | 3369836505 |
| Practice Fax Number | 3369855340 |
| Mailing Telephone | 3369836505 |
| Mailing Fax Number | 3369855340 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROL PRATER (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 3366330055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0555 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3425449 | 05 | |
| NC | 7804673 | 05 | |
| NC | EVERCARE PROVIDER NUMBER | 7100155 | 01 |
| NC | BCBS PROVIDER NUMBER | 009C1 | 01 |
| NC | 342606J | 05 |
| Other Name | Type Code |
|---|---|
| UNIVERSAL HEALTH CARE / KING | Doing Business As Name - Organization |
| Street Address |
115 WHITE RD |
| City | KING |
| State | NC |
| Zip Code | 27021-9526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933615 | Autumn Corporation | Skilled Nursing Facility | 440 Ingram Road Ext., King, NC 27021 | 2005-12-20 |
| 1366439986 | State of Wisconsin | Skilled Nursing Facility | N2665 County Road Qq, King, WI 54946 | 2005-09-29 |
| 1629515499 | Village Care of King, LLC | Skilled Nursing Facility | 440 Ingram Dr, King, NC 27021-8208 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.