Active NPI
United Living, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1235282930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- MHL-041-718
- Legal business name
- UNITED LIVING, LLC
- Practice address
- 1209 Westhampton Dr
Greensboro, NC 27405-5463 - Phone
- (336) 379-7584
- Fax
- (866) 221-8306
- NPI assigned
- Jan 18, 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
- Mr. Anthony Patterson
- Title
- Director
- Phone
- (336) 379-7584
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-041-718 | NC | |
| In Home Supportive Care Agency | 253Z00000X | MHL-041-718 | NC | |
| Adult Care Home Facility | 311ZA0620X | MHL-041-718 | NC | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-041-718 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-041-718 | NC | Primary |
| Respite Care | 385H00000X | MHL-041-718 | NC |
Addresses
Primary practice location
1209 Westhampton Dr
Greensboro, NC 27405-5463
Mailing address
PO Box 36436
Greensboro, NC 27416-6436
Phone (336) 379-7584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408470 | Medicaid | NC |
Other names 1
- United Living (Westhampton Home)
National Provider Directory
National Provider Directory- Tax ID family
- United Living LLC
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1235369240
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1407230469
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- MC Leansville, NC
- NPI 1497138960
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1649684374
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jamestown, NC
- NPI 1669886354
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pleasant Garden, NC
- NPI 1770985871
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Whitsett, NC
- NPI 1770987380
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1831503523
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1922555671
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1982087458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449014400000",
"number": "1235282930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36436",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274166436",
"telephone_number": "336-379-7584",
"fax_number": "866-221-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 WESTHAMPTON DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055463",
"telephone_number": "336-379-7584",
"fax_number": "866-221-8306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2015-12-02",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "336-379-7584",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-041-718",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "MHL-041-718",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "MHL-041-718",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "MHL-041-718",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-041-718",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": "MHL-041-718",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408470",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Living (Westhampton Home)",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Dec 2, 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.