UNIVERSAL MHDDSAS (NPI# 1679615603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679615603 |
Entity Type | Organization |
Organization Name | UNIVERSAL MHDDSAS |
Practice Address |
136 Commercial Dr Forest City NC 28043-2801 |
Mailing Address |
839 Wilkesboro Blvd Ne Lenoir NC 28645-4612 |
Practice Telephone | 8282458886 |
Practice Fax Number | 8282458818 |
Mailing Telephone | 8287592228 |
Mailing Fax Number | 8287590159 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2011-05-20 |
Authorized Official Name | BROOK PHILLIPS (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 8287594064 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8300626H | 05 | |
NC | 5900272 | 05 | |
NC | 8300626B | 05 | |
NC | 8300626V | 05 | |
NC | 8702251 | 05 | |
NC | 6005057 | 05 | |
NC | 8300626G | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952443996 | Universal Mhddsas | Community/Behavioral Health | 102 W Hill St, Warsaw, NC 28398-1816 | 2007-02-13 |
1184766123 | Universal Mhddsas | Community/Behavioral Health | 610 Pine Tree Dr, New Bern, NC 28562-4430 | 2007-02-13 |
1376685313 | Universal Mhddsas | Case Management | 370 N Louisiana Ave, Suite A-2, Asheville, NC 28806-3657 | 2007-02-13 |
1881736825 | Universal Mhddsas | Community/Behavioral Health | 3820 Bridges Street, Suite 8, Morehead City, NC 28557-2918 | 2007-02-13 |
1659413698 | Universal Mhddsas | Psychiatry & Neurology | 10 N Main St, Burnsville, NC 28714-2925 | 2007-02-13 |
1952443988 | Universal Mhddsas | Community/Behavioral Health | 397 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2007-02-13 |
Street Address |
136 COMMERCIAL DR |
City | FOREST CITY |
State | NC |
Zip Code | 28043-2801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104268291 | Lynette Boyce Dover | Counselor | 136 Commercial Dr, Forest City, NC 28043-2801 | 2013-07-18 |
1093062994 | Michael Andrew Epley | Counselor | 136 Commercial Dr, Forest City, NC 28043-2801 | 2012-08-09 |
1194033399 | Myron Scott Moss | Psychologist | 136 Commercial Dr, Forest City, NC 28043 | 2010-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
Find all providers in zip 28043 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487217097 | Family Preservation Services of Nc, LLC-roc | Community/Behavioral Health | 140 Old Caroleen Rd, Forest City, NC 28043-3749 | 2019-04-18 |
1629427802 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 286 Learning Pkwy, Forest City, NC 28043-7504 | 2016-06-08 |
1255714333 | Turning Point Services, Inc. | Community/Behavioral Health | 284 W Main St, Forest City, NC 28043-3025 | 2015-07-07 |
1417282765 | Monarch | Community/Behavioral Health | 188 Parkland Dr, Forest City, NC 28043-2947 | 2009-10-05 |
1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
1386871119 | Monarch | Community/Behavioral Health | 175 W Main Dr, Forest City, NC 28043-2832 | 2009-06-19 |
1871720557 | Monarch | Community/Behavioral Health | 132 Bellview St, Forest City, NC 28043-2813 | 2009-06-19 |
1235372210 | Cnc Access Inc | Community/Behavioral Health | 127 N Powell St, Suite 102, Forest City, NC 28043-3190 | 2009-04-07 |
1306042007 | Rha Health Services Inc | Community/Behavioral Health | 668 Withrow Rd, Forest City, NC 28043-9695 | 2007-06-21 |
Find all providers in FOREST CITY |
City | FOREST CITY |
Zip Code | 28043 |
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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.