NPIMap

Organization Active NPI

Universal Mental Health Services, Inc.

  • In Home Supportive Care Agency
  • Wake Forest, NC
National Provider Identifier
1104204833
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNIVERSAL MENTAL HEALTH SERVICES, INC.
Practice address
824 Tannerwell Ave
Wake Forest, NC 27587-4688
Phone
(919) 475-6660
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Jennifer Carroll
Title
Controller
Phone
(828) 759-4083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

824 Tannerwell Ave
Wake Forest, NC 27587-4688

Mailing address

839 Wilkesboro Blvd NE
Lenoir, NC 28645-4612
Phone (828) 759-2228

National Provider Directory

National Provider Directory
Tax ID family
Universal Mental Health Services Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1104204833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 WILKESBORO BLVD NE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454612",
            "telephone_number": "828-759-2228",
            "fax_number": "828-759-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 TANNERWELL AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874688",
            "telephone_number": "919-475-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "828-759-4083"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.