Organization Active NPI

Universal Health Care Rocky Mount, Inc.

  • Skilled Nursing Facility
  • Rocky Mount, NC
National Provider Identifier
1144461674
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
UNIVERSAL HEALTH CARE ROCKY MOUNT, INC.
Practice address
2221 Raleigh Rd
Rocky Mount, NC 27803-3729
Phone
(252) 442-4156
Fax
(252) 407-8478
NPI assigned
Mar 12, 2009
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Ms. Paula Sutton White
Title
A/R Director
Phone
(828) 464-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2221 Raleigh Rd
Rocky Mount, NC 27803-3729

Mailing address

301 10TH St NW Ste B-2
Conover, NC 28613-2419
Phone (828) 464-1817

Other identifiers 3

IdentifierTypeStateIssuer
3426090MedicaidNC
7803186MedicaidNC
3425137MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1144461674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 10TH ST NW STE B-2",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132419",
            "telephone_number": "828-464-1817",
            "fax_number": "828-464-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 RALEIGH RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033729",
            "telephone_number": "252-442-4156",
            "fax_number": "252-407-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH CARE ROCKY MOUNT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "A/R DIRECTOR",
        "authorized_official_telephone_number": "828-464-1817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426090",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803186",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425137",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.