Active NPI
United Healthcare
- Skilled Nursing Facility
- Greensboro, NC
National Provider Identifier
1093126633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNITED HEALTHCARE
- Practice address
- 211 W Greenway Dr N
Greensboro, NC 27403-1540 - Phone
- (336) 908-1606
- NPI assigned
- May 16, 2014
- Last updated
- May 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Ballard, GNP
- Title
- CSM
- Phone
- (336) 544-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
211 W Greenway Dr N
Greensboro, NC 27403-1540
Mailing address
211 W Greenway Dr N
Greensboro, NC 27403-1540
National Provider Directory
National Provider Directory- Tax ID family
- Optum Clinical Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Hicksville, NY
- NPI 1124393020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400198400000",
"number": "1093126633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W GREENWAY DR N",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W GREENWAY DR N",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031540",
"telephone_number": "336-908-1606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CSM",
"authorized_official_telephone_number": "336-544-5000",
"authorized_official_credential": "GNP"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.