NPIMap

Organization Active NPI

Upscale Residential Care, Inc

  • Community/Behavioral Health Agency
  • Roseboro, NC
National Provider Identifier
1942497086
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPSCALE RESIDENTIAL CARE, INC
Practice address
614 North Maple Place
Roseboro, NC 28382
Phone
(919) 789-1154
Fax
(866) 786-3576
NPI assigned
Oct 3, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Vendia Currie
Title
Ceo
Phone
(919) 789-1154

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NC
Mental Health Counselor 101YM0800X 2565 SC
Mental Health Counselor 101YM0800X 5467 SC
Clinical Social Worker 1041C0700X 9145 SC
Family Medicine Physician 207Q00000X 32077 SC
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

614 North Maple Place
Roseboro, NC 28382

Mailing address

PO Box 1051
Roseboro, NC 28382-1051
Phone (919) 789-1154

Other identifiers 2

IdentifierTypeStateIssuer
154BHSMedicaidSC
3408037MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Upscale Residential Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1942497086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283821051",
            "telephone_number": "919-789-1154",
            "fax_number": "866-786-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 NORTH MAPLE PLACE",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "28382",
            "telephone_number": "919-789-1154",
            "fax_number": "866-786-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSCALE RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "CURRIE",
        "authorized_official_first_name": "VENDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-789-1154"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "2565",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5467",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9145",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32077",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154BHS",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.