Universal Healthcare Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-001-005 Issued in NC

Legal business name

UNIVERSAL HEALTHCARE SERVICES

Practice address

858 Ross St
Burlington, NC 27217-1651

Phone

(336) 229-6866

Fax

(336) 229-6003

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Fiager M Blackwell

Title

Owner

Phone

(336) 694-7785

Specialties & licenses 1

Addresses

Other names 1

• DOGWOOD FOREST - NICOLE Doing business as

Tax ID family

Dogwood Forest - Nicole2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Universal Healthcare Services

  • Assisted Living Facility
  • Greensboro, NC
  • NPI 1154459956
  NPD tax ID

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861510992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162828",
            "telephone_number": "336-229-6866",
            "fax_number": "336-229-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 ROSS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171651",
            "telephone_number": "336-229-6866",
            "fax_number": "336-229-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "FIAGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-694-7785"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-001-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOGWOOD FOREST - NICOLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unc
• Unc Physicians Network LLC
• Unc Physicians Network, LLC
• Union Avenue Group Home, LLC
• United Care Center 2
• Universal Mental Health Services, Inc.
• Universal Mental Health Services, Inc.
• University of North Carolina at Chapel Hill
• University of North Carolina at Chapel Hill
• University of North Carolina at Chapel Hill

• All providers in Burlington, NC
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.