NPIMap

Organization Active NPI

Universal Health Care Concord, Inc

  • Skilled Nursing Facility
  • Concord, NC
National Provider Identifier
1942279609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0247 Issued in NC
Legal business name
UNIVERSAL HEALTH CARE CONCORD, INC
Practice address
430 Brookwood Ave NE
Concord, NC 28025-2566
Phone
(704) 788-4115
Fax
(704) 788-6331
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Prater
Title
Vice President of Operations
Phone
(336) 633-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0247 NC Primary

Addresses

Primary practice location

430 Brookwood Ave NE
Concord, NC 28025-2566

Mailing address

430 Brookwood Ave NE
Concord, NC 28025-2566
Phone (704) 788-4115

Other identifiers 3

IdentifierTypeStateIssuer
009C1OtherNCBCBS PROVIDER NUMBER
3415183MedicaidNC
3416026MedicaidNC

Other names 1

  • UNIVERSAL HEALTH CARE / CONCORD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942279609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BROOKWOOD AVE NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252566",
            "telephone_number": "704-788-4115",
            "fax_number": "704-788-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BROOKWOOD AVE NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252566",
            "telephone_number": "704-788-4115",
            "fax_number": "704-788-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH CARE CONCORD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "336-633-0055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "009C1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415183",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL HEALTH CARE / CONCORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • 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.