United Rehabilitation Services, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-043-088 Issued in NC

Legal business name

UNITED REHABILITATION SERVICES, INC

Practice address

505 S Magnolia Ave
Dunn, NC 28334-5822

Phone

(919) 285-5494

NPI assigned

Nov 9, 2011

Last updated

Nov 9, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

UNITED REHABILITATION SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Alexander Bass

Title

Administrator

Phone

(919) 285-5494

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

United Rehabilitation Services Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• United Rehabilitation Services, Inc.

  • Adult Day Care Clinic/Center
  • Erwin, NC
  • NPI 1578874442
  NPPES parent name

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1477830065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CRYSTALWATER DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265238",
            "telephone_number": "919-285-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAGNOLIA AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345822",
            "telephone_number": "919-285-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHABILITATION SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED REHABILITATION SERVICES, INC.",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-285-5494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-043-088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303085S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Rehab LLC
• Trust the Process Inc.
• Jesse Raymond Tucker, CRNA
• Melissa Bland Turner, PHARMD
• Kayla Bren Raynor Tyndall, PA
• Unlimited Access Home Care Agency, Inc.
• Unlimited Access, Inc.
• Alexandra Carolina Urdaneta, DO
• Farman Ali Usman, MD
• Clarence Davenport Utz, CRNA

• Mental Illness Community Based Residential Treatment Facility in Dunn, NC
• Providers in Dunn, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.