United Assist Medical Supply, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

01462 Issued in NC

Legal business name

UNITED ASSIST MEDICAL SUPPLY, INC.

Practice address

1819 Lee Ave
Suite 3
Sanford, NC 27330-5756

Phone

(919) 776-1144

Fax

(919) 776-1147

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Charles Assaotchi

Title

Ceo

Phone

(919) 776-1144

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1740430933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 LEE AVE",
            "address_2": "SUITE 3",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305756",
            "telephone_number": "919-776-1144",
            "fax_number": "919-776-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 LEE AVE",
            "address_2": "SUITE 3",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305756",
            "telephone_number": "919-776-1144",
            "fax_number": "919-776-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ASSIST MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "ASSAOTCHI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-776-1144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01462",
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NC",
            "license": "01462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705232",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Sanford, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.