Organization Active NPI

United Quest Care Services, LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1265673651
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNITED QUEST CARE SERVICES, LLC
Practice address
2627 Grimsley St
Greensboro, NC 27403-3135
Phone
(336) 279-1227
Fax
(336) 279-1226
NPI assigned
Mar 13, 2009
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Demetria VaneusNPI 1801785704
Title
Owner
Phone
(336) 279-1227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 8302770 NC
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 8302770 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8302770 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 8302770 NC
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 8302770 NC
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 8302770 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 8302770 NC
Community/Behavioral Health Agency 251S00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2627 Grimsley St
Greensboro, NC 27403-3135

Mailing address

2627 Grimsley St
Greensboro, NC 27403-3135
Phone (336) 279-1227

Other practice location 1

726 S Garnett St
Henderson, NC 27536-4511
Phone (336) 279-1227

Other identifiers 1

IdentifierTypeStateIssuer
8302770MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131125000893 NC Part B Supplier - Clinic/Group Practice 5294999629 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory
Tax ID family
United Quest Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

806 Summit Ave
#210A
Greensboro, NC 27405
Phone (336) 279-1227

726 S Garnett St
Henderson, NC 27536
Phone (336) 279-1227

Practitioners & affiliated clinicians

Practitioners 3

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": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1265673651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 GRIMSLEY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033135",
            "telephone_number": "336-279-1227",
            "fax_number": "336-279-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 GRIMSLEY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033135",
            "telephone_number": "336-279-1227",
            "fax_number": "336-279-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 S Garnett St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275364511",
            "country_code": "US",
            "telephone_number": "336-279-1227",
            "fax_number": "336-279-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED QUEST CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "VANEUS",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-279-1227"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "8302770",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302770",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.