Active NPI
Universal Health Care Fuquay-Varina Inc
- Skilled Nursing Facility
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNIVERSAL HEALTH CARE FUQUAY-VARINA INC
- Practice address
- 410 S. Judd Parkway SE
Fuquay Varina, NC 27526-2147 - Phone
- (919) 577-0421
- NPI assigned
- Mar 12, 2009
- Last updated
- Nov 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Beaver
- Title
- VP
- Phone
- (828) 459-2977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
410 S. Judd Parkway SE
Fuquay Varina, NC 27526-2147
Mailing address
2929 N Oxford St
Claremont, NC 28610-9661
Phone (828) 459-2977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130906000448 | NC | Part A Provider - Skilled Nursing Facility | 9739322942 | Practice locations: Fuquay-Varina, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1588805014. Details of each certification follow.
Skilled nursing facility certification: CCN 345561
- Legal name
- UNIVERSAL HEALTH CARE FUQUAY-VARINA INC
- Doing business as
- UNIVERSAL HEALTH CARE/FUQUAY-VARINA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 30, 2013
- Last certification
- Dec 5, 2024
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medical Facilities of America
- Organization structure
- Corporation
- Incorporated
- Sep 24, 2008 in NC
- Enrollment address
- 410 S. Judd Parkway, S.E.
Fuquay-Varina, NC 27526-2147
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fuquay-Varina Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 30, 2013
- Medicare certification status
- Active
- Certified beds
- 100
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carol Lang Webb | W-2 Managing Employee | Jul 15, 2013 | |
| Choice Health Management, Serv LLC | Operational/Managerial Control | Sep 24, 2008 | 5% |
| Donna R. Cook | W-2 Managing Employee | Dec 19, 2012 | 100% |
| Operational/Managerial Control | Dec 19, 2012 | 100% | |
| Alan Curtis Beaver | Corporate Officer | Nov 27, 2017 | 100% |
| Donald Clay Beaver | 5% Or Greater Indirect Ownership Interest | Sep 24, 2008 | 100% |
| Universal Health Care Fuquay-Varina Inc | 5% Or Greater Direct Ownership Interest | Sep 24, 2008 | 100% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Universal Health Care / North Raleigh
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1144299702
Choice Health Management, Serv LLC
-
- Skilled Nursing Facility
- Lillington, NC
- NPI 1235370750
Choice Health Management, Serv LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1477717445
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1588805014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 N OXFORD ST",
"city": "CLAREMONT",
"state": "NC",
"postal_code": "286109661",
"telephone_number": "828-459-2977",
"fax_number": "828-459-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S. JUDD PARKWAY SE",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262147",
"telephone_number": "919-577-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL HEALTH CARE FUQUAY-VARINA INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-12",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "BEAVER",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "828-459-2977"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
- Raymond Turner
- Kingsley Chuks Ugochukwu, MD
- Christy Umenwa, NP
- Unc Physicians Network, LLC (Riverbend Family Medicine)
- United Family Network Inc. (United Family Network of Fuquay-Varina)
- Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Fuquay)
- Urgent Cares of America North Carolina Inc
- Teshia J'Wan Utley-McKoy, M.S.
- Joanne Valcin-Dickson
- Valiant Couples Therapy and Consulting, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.