NPIMap

Organization Active NPI

United Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Moosup, CT
National Provider Identifier
1962520676
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
RLC-0031 Issued in CT
Legal business name
UNITED SERVICES, INC.
Practice address
249 Main St
Moosup, CT 06354-1249
Phone
(860) 564-4007
NPI assigned
Mar 27, 2007
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Diane L. Manning
Title
Ceo President
Phone
(860) 774-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X RLC-0031 CT Primary

Addresses

Primary practice location

249 Main St
Moosup, CT 06354-1249

Mailing address

1007 N. Main Street
Dayville, CT 06241-0839
Phone (860) 774-2020

Other identifiers 1

IdentifierTypeStateIssuer
004246452MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
United Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1962520676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N. MAIN STREET",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062410839",
            "telephone_number": "860-774-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "MOOSUP",
            "state": "CT",
            "postal_code": "063541249",
            "telephone_number": "860-564-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "860-774-2020"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CT",
            "license": "RLC-0031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246452",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moosup, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.