Provider Demographics
NPI:1164528121
Name:UMAR SERVICES, INC
Entity Type:Organization
Organization Name:UMAR SERVICES, INC
Other - Org Name:CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-659-7630
Mailing Address - Street 1:5350 77 CENTER DR SUITE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-2783
Mailing Address - Country:US
Mailing Address - Phone:704-875-1328
Mailing Address - Fax:704-875-9276
Practice Address - Street 1:9800 KINCEY AVE
Practice Address - Street 2:SUITE 190
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8415
Practice Address - Country:US
Practice Address - Phone:704-875-1328
Practice Address - Fax:704-875-9276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804215Medicaid
NC7802198Medicaid
NC7802810Medicaid
NC7804012Medicaid
NC7802369Medicaid
NC7802643Medicaid
NC7802744Medicaid
NC7803215Medicaid
NC3408796Medicaid
NC7802523Medicaid
NC7802987Medicaid
NC7803010Medicaid
NC7804065Medicaid
NC7804104Medicaid
NC7802200Medicaid
NC7804278Medicaid
NC7805230Medicaid
NC7803966Medicaid
NC7804103Medicaid
NC7802516Medicaid