NPIMap

Organization Active NPI

Companion Home Care Unimed Inc.

  • Developmentally Disabled Services Day Training Agency
  • Lumberton, NC
National Provider Identifier
1417097080
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL078162 Issued in NC
Legal business name
COMPANION HOME CARE UNIMED INC.
Practice address
4820 Fayetteville Rd
Lumberton, NC 28358-2112
Phone
(910) 608-0430
Fax
(910) 608-0464
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mr. Charles Vinson GrahamNPI 1750420618
Title
Owner
Phone
(910) 608-0430

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL078162 NC Primary

Addresses

Primary practice location

4820 Fayetteville Rd
Lumberton, NC 28358-2112

Mailing address

4820 Fayetteville Rd
Lumberton, NC 28358-2112
Phone (910) 608-0430

Other identifiers 1

IdentifierTypeStateIssuer
8300603RMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Companion Home Care Unimed Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1417097080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582112",
            "telephone_number": "910-608-0430",
            "fax_number": "910-608-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582112",
            "telephone_number": "910-608-0430",
            "fax_number": "910-608-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOME CARE UNIMED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VINSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-608-0430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL078162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300603R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

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