UNIVERSAL MHDDSAS


Address: 136 Commercial Dr, Forest City, NC 28043-2801
Phone: 8282458886

UNIVERSAL MHDDSAS (NPI# 1679615603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

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

Other Provider IDs and Locations

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

Office Location

Street Address 136 COMMERCIAL DR
City FOREST CITY
State NC
Zip Code 28043-2801

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City FOREST CITY
Zip Code 28043

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Dataset Information

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.

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