Active NPI
United Residential Services of N.C.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 026-694
- Legal business name
- UNITED RESIDENTIAL SERVICES OF N.C.
- Practice address
- 6503 Kemper CT
Fayetteville, NC 28303-2354 - Phone
- (910) 583-1104
- Fax
- (910) 630-1104
- NPI assigned
- Jan 31, 2007
- 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
- Darrin Lee McNeill
- Title
- Facility Director
- Phone
- (910) 583-1104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 026-694 | NC | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 047-068 | NC |
Addresses
Primary practice location
6503 Kemper CT
Fayetteville, NC 28303-2354
Mailing address
PO Box 25928
Fayetteville, NC 28314-5015
Phone (910) 583-1104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418061 | Medicaid | NC |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Exclusive Provider Organization
- Fayetteville, NC
- NPI 1831333723
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Raeford, NC
- NPI 1962913673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240444800000",
"number": "1235276031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25928",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145015",
"telephone_number": "910-583-1104",
"fax_number": "910-630-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6503 KEMPER CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283032354",
"telephone_number": "910-583-1104",
"fax_number": "910-630-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED RESIDENTIAL SERVICES OF N.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2009-04-23",
"status": "A",
"authorized_official_last_name": "MCNEILL",
"authorized_official_first_name": "DARRIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "FACILITY DIRECTOR",
"authorized_official_telephone_number": "910-583-1104"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "026-694",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "047-068",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418061",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Unique Plus Home Care Agency
- United Counseling and Therapeutic Services LLC
- United Day Support Services
- United Home Care, Inc.
- United Rehab Inc (United Rehab NCVA Fayetteville)
- United Transit Services
- Unity & Diversity Home Health Care Inc.
- Unity & Diversity Home Health Care, Inc.
- Unity & Diversity Home Health Care, Inc.
- Unity Home Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.