Active NPI
United Veteran Services of North Carolina Inc
- Skilled Nursing Facility
- Salisbury, NC
National Provider Identifier
1811053234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNITED VETERAN SERVICES OF NORTH CAROLINA INC
- Doing business as
- North Carolina State Veterans Home - Salisbury
- Practice address
- 1601 Brenner Ave
Building #10
Salisbury, NC 28144-2515 - Phone
- (704) 638-4200
- NPI assigned
- Dec 29, 2006
- 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
- Neil L Pruitt Jr.
- Title
- Chairman and Ceo
- Phone
- (770) 279-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1601 Brenner Ave
Building #10
Salisbury, NC 28144-2515
Mailing address
211 Doyle St E
Toccoa, GA 30577-2960
Phone (706) 886-8493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405531 | Medicaid | NC |
Other names 1
- North Carolina State Veterans Home - Salisbury
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1027377 | North Carolina State Veterans Home - Salisbury | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1811053234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 DOYLE ST E",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305772960",
"telephone_number": "706-886-8493",
"fax_number": "706-886-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVE",
"address_2": "BUILDING #10",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442515",
"telephone_number": "704-638-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED VETERAN SERVICES OF NORTH CAROLINA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN AND CEO",
"authorized_official_telephone_number": "770-279-6200",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3405531",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Carolina State Veterans Home - Salisbury",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.