Organization Active NPI

Ats Universal LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1548395502
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1030 Issued in NC
Legal business name
ATS UNIVERSAL LLC
Practice address
11111 Carmel Commons Blvd
Ste 200
Charlotte, NC 28226-5319
Phone
(980) 235-2760
Fax
(704) 716-2257
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mrs. Mary Carman
Title
Support Services Specialist
Phone
(904) 398-9098

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1030 NC Primary
Home Health Agency 251E00000X 20158096 FL
Home Health Agency 251E00000X FL
Home Health Agency 251E00000X FL
Home Health Agency 251E00000X FL
Home Health Agency 251E00000X FL

Addresses

Primary practice location

11111 Carmel Commons Blvd
Ste 200
Charlotte, NC 28226-5319

Mailing address

6820 Southpoint Pkwy
Ste 3
Jacksonville, FL 32216-6276
Phone (900) 398-9098

Other identifiers 5

IdentifierTypeStateIssuer
3408750MedicaidNC
287841OtherFLAMERIGROUP
6600422MedicaidNC
299191OtherFLAVMED
60-01007OtherFLUNITED HEALTHCARE

Other names 1

  • ATS Health Services Other name

National Provider Directory

National Provider Directory

Locations

11111 Carmel Commons Blvd
Ste 200
Charlotte, NC 28226
Phone (980) 235-2760

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1548395502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 SOUTHPOINT PKWY",
            "address_2": "STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166276",
            "telephone_number": "900-398-9098",
            "fax_number": "904-346-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 CARMEL COMMONS BLVD",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265319",
            "telephone_number": "980-235-2760",
            "fax_number": "704-716-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATS UNIVERSAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SUPPORT SERVICES SPECIALIST",
        "authorized_official_telephone_number": "904-398-9098",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1030",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20158096",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408750",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "287841",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600422",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "299191",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "60-01007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATS Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.