UNION COUNTY RESIDENTIAL SERVICES INC. NPI 1881771665

NPI Information

NPI: 1881771665
Provider Name: UNION COUNTY RESIDENTIAL SERVICES, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2021 CAMDEN RD
WINGATE, NC
ZIP 28174
Phone: (704) 624-6500
Get Directions

UNION COUNTY RESIDENTIAL SERVICES, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Wingate, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. UNION COUNTY RESIDENTIAL SERVICES, INC. NPI is 1881771665. The provider is registered as an organization entity type.

The provider's business location address is:

2021 CAMDEN RD
WINGATE, NC
ZIP 28174-796
Phone: (704) 624-6500
Fax: (704) 283-7703

The provider's authorized official is Julie Stanaland .
The authorized official title is Executive Director and has the following contact phone number (704) 283-1400.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-090-129	NORTH CAROLINA	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-090-128	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7804516	MEDICAID	NORTH CAROLINA
2	7804515	MEDICAID	NORTH CAROLINA
3	3408933	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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