Organization Active NPI

Unity Residential Service Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clayton, NC
National Provider Identifier
1790869964
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL051149 Issued in NC
Legal business name
UNITY RESIDENTIAL SERVICE INC.
Practice address
112 Barbour St
Clayton, NC 27520-2402
Phone
(919) 879-8216
Fax
(919) 879-8479
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Mrs. Cynthia Jeanette Grant
Title
President/Ceo
Phone
(919) 879-8216

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL051149 NC Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL051180 NC
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL051171 NC

Addresses

Primary practice location

112 Barbour St
Clayton, NC 27520-2402

Mailing address

112 Barbour St
Clayton, NC 27520-2402
Phone (919) 879-8216

National Provider Directory

National Provider Directory

Locations

112 Barbour St
Clayton, NC 27520
Phone (919) 879-8216

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1790869964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BARBOUR ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202402",
            "telephone_number": "919-879-8216",
            "fax_number": "919-879-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BARBOUR ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202402",
            "telephone_number": "919-879-8216",
            "fax_number": "919-879-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY RESIDENTIAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-879-8216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL051149",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL051180",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL051171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.