Universal Health Care / King, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0555 Issued in NC

Legal business name

UNIVERSAL HEALTH CARE / KING, INC

Doing business as

Universal Health Care / King

Practice address

115 White Rd
King, NC 27021-9526

Phone

(336) 983-6505

Fax

(336) 985-5340

NPI assigned

Mar 16, 2006

Last updated

Nov 18, 2022By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 5

Other names 1

• UNIVERSAL HEALTH CARE / KING Doing business as

Locations

Practitioners 2

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.

• Jonathan Kenton Tackett, M.D.

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1407203888
  NPD (past)
• Jill Elaine Van Horn, DO

  • Family Medicine Physician
  • Yanceyville, NC
  • NPI 1669584835
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1629047279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WHITE RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219526",
            "telephone_number": "336-983-6505",
            "fax_number": "336-985-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WHITE RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219526",
            "telephone_number": "336-983-6505",
            "fax_number": "336-985-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH CARE / KING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "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": "NC",
            "license": "NH0555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "7100155",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425449",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804673",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "009C1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342606J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL HEALTH CARE / KING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIVERSAL HEALTH CARE / KING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Taylor Grace Turner
• Twin City Anesthesia PLLC
• Calvin Douglas Vandergrift, PHARMD, RPH
• Village Care of King, LLC (Village Care of King)
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• Lori McCombs Wade, M.A, CCC-SLP
• Sharon Darlene Wagner

• Skilled Nursing Facility in King, NC
• Providers in King, NC by specialty
• Skilled Nursing Facility in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.