1164528121 NPI number — UMAR SERVICES, INC

Table of content: (NPI 1164528121)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164528121 NPI number — UMAR SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UMAR SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CORP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164528121
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5350 77 CENTER DR SUITE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28217-2783
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-875-1328
Provider Business Mailing Address Fax Number:
704-875-9276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9800 KINCEY AVE
Provider Second Line Business Practice Location Address:
SUITE 190
Provider Business Practice Location Address City Name:
HUNTERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28078-8415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-875-1328
Provider Business Practice Location Address Fax Number:
704-875-9276
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GARNER
Authorized Official First Name:
MARILYN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO AND PRESIDENT
Authorized Official Telephone Number:
704-659-7630

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7804215 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802198 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802810 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7804012 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802369 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802643 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802744 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7803215 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3408796 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802523 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802987 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7803010 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7804065 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7804104 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802200 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7804278 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7805230 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7803966 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7804103 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7802516 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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