Provider Demographics
NPI:1598096349
Name:UNITED CARE OF NORTH CAROLINA
Entity Type:Organization
Organization Name:UNITED CARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-522-1336
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:3164 UNION CHAPEL RD.
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-7325
Mailing Address - Country:US
Mailing Address - Phone:910-522-1336
Mailing Address - Fax:910-522-1039
Practice Address - Street 1:3164 UNION CHAPEL RD.
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-7325
Practice Address - Country:US
Practice Address - Phone:910-522-1336
Practice Address - Fax:910-522-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care