Organization Active NPI

United Living, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1922555671
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL041718 Issued in NC
Legal business name
UNITED LIVING, LLC
Practice address
3200 Bernard St
Greensboro, NC 27405-3724
Phone
(336) 379-7584
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Mr. Anthony Patterson
Title
Owner/Director
Phone
(336) 379-7584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL041718 NC Primary

Addresses

Primary practice location

3200 Bernard St
Greensboro, NC 27405-3724

Mailing address

PO Box 36436
Greensboro, NC 27416-6436
Phone (336) 379-7584

Other identifiers 1

IdentifierTypeStateIssuer
3408470MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
United Living LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1922555671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36436",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274166436",
            "telephone_number": "336-379-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BERNARD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053724",
            "telephone_number": "336-379-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "336-379-7584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL041718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408470",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.