United Care Center

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL001114 Issued in NC

Legal business name

UNITED CARE CENTER

Practice address

409 Mill St
Graham, NC 27253-2226

Phone

(336) 214-1257

Fax

(336) 222-6078

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Orbra T Graves Jr.

Title

Administrator

Phone

(336) 222-1462

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Graves Family Care2 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.

• Graves Family Care

  • Assisted Living Facility
  • Graham, NC
  • NPI 1932405115
  NPD tax ID

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1407152671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MILL ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532226",
            "telephone_number": "336-214-1257",
            "fax_number": "336-222-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MILL ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532226",
            "telephone_number": "336-214-1257",
            "fax_number": "336-222-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ORBRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-222-1462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL001114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805021",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Graham, NC
• Providers in Graham, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.