Organization Active NPI

United Residential Services of N.C.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1235276031
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
026-694 Issued in NC
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

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Darrin Lee McNeillNPI 1962913673
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418061MedicaidNC

National Provider Directory

National Provider Directory

Ownership & 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.

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.

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

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.

Verify at the official NPI Registry.