Universal Group Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL096-197 Issued in NC

Legal business name

UNIVERSAL GROUP HOME

Practice address

2030 Azalea Dr
Goldsboro, NC 27530-1208

Phone

(919) 922-4366

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Barbara Jean Waters

Title

Owner

Phone

(919) 922-4366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1831387331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 AZALEA DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301208",
            "telephone_number": "919-922-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 AZALEA DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301208",
            "telephone_number": "919-922-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-922-4366"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL096-197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Andrew Underwood, EMT-P
• Unheard Voices of NC, LLC
• Unique Professional Homecare LLC
• United Home Care, Inc.
• Universal Group Home
• Virginia Burton Updegrave, RPH, BCPP
• Alok Uppal, MD
• Karuna Kapoor Uppal, M.D.
• Michael Urda, M.D.
• Urgent Cares of America North Carolina Inc

• Adult Care Home Facility in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.