1568785194 NPI number — UNITED FAMILY CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568785194 NPI number — UNITED FAMILY CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED FAMILY CARE 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:
Provider Other Organization Name Type Code:
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:
1568785194
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
720 RED OAK TREE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FUQUAY VARINA
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27526-4931
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-285-5494
Provider Business Mailing Address Fax Number:
919-934-5433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10183 HIGHWAY 210 NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANGIER
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-639-8668
Provider Business Practice Location Address Fax Number:
919-639-8564
Provider Enumeration Date:
03/10/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BASS
Authorized Official First Name:
ALEXANDER
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
919-285-5494

Provider Taxonomy Codes

  • Taxonomy code: 311ZA0620X , with the licence number:  FLC-043023 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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