Organization Active NPI

United Living, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • McLeansville, NC
National Provider Identifier
1497138960
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-041-1120 Issued in NC
Legal business name
UNITED LIVING, LLC
Practice address
1937A Mount Hope Chu Rd
MC Leansville, NC 27301-9628
Phone
(336) 379-7584
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Anthony Patterson
Title
Director
Phone
(336) 379-7584

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-041-1120 NC
In Home Supportive Care Agency 253Z00000X MHL-041-1120 NC
Adult Care Home Facility 311ZA0620X MHL-041-1120 NC
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-041-1120 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-041-1120 NC Primary
Respite Care 385H00000X MHL-041-1120 NC

Addresses

Primary practice location

1937A Mount Hope Chu Rd
MC Leansville, NC 27301-9628

Mailing address

PO Box 36436
Greensboro, NC 27416-6436
Phone (336) 379-7584

Other identifiers 1

IdentifierTypeStateIssuer
3408470MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
United Living LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1497138960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36436",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274166436",
            "telephone_number": "336-379-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937A MOUNT HOPE CHU RD",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019628",
            "telephone_number": "336-379-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-379-7584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-041-1120",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "MHL-041-1120",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-041-1120",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-1120",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-1120",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL-041-1120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408470",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLeansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.