Urban League of the Upstate, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

5023 Issued in SC

Legal business name

URBAN LEAGUE OF THE UPSTATE, INC.

Practice address

15 Regency Hill Dr
Greenville, SC 29607-1230

Phone

(864) 244-3862

Fax

(864) 244-6134

NPI assigned

Jun 1, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley McDonald

Title

Billing Coordinator

Phone

(864) 322-4117

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306848551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 REGENCY HILL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071230",
            "telephone_number": "864-244-3862",
            "fax_number": "864-244-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REGENCY HILL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071230",
            "telephone_number": "864-244-3862",
            "fax_number": "864-244-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN LEAGUE OF THE UPSTATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "864-322-4117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.