NPIMap

Organization Active NPI

Upscale Residential Care, Incorporated

  • Community/Behavioral Health Agency
  • Kenansville, NC
National Provider Identifier
1053638593
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPSCALE RESIDENTIAL CARE, INCORPORATED
Practice address
302 Limestone Road
Kenansville, NC 28349-0000
Phone
(910) 868-6819
Fax
(910) 296-0488
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vendia Currie
Title
Owner/Manager
Phone
(910) 336-1693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

302 Limestone Road
Kenansville, NC 28349-0000

Mailing address

2154 Sutton Hooten LN
La Grange, NC 28551-8252
Phone (252) 566-3298

Other identifiers 1

IdentifierTypeStateIssuer
10448OtherNCMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Upscale Residential Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1053638593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 SUTTON HOOTEN LN",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285518252",
            "telephone_number": "252-566-3298",
            "fax_number": "252-566-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LIMESTONE ROAD",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490000",
            "telephone_number": "910-868-6819",
            "fax_number": "910-296-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSCALE RESIDENTIAL CARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "CURRIE",
        "authorized_official_first_name": "VENDIA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "910-336-1693"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.