UMAR SERVICES, INC

Provider Demographics

• NPI: 1760886600
• Name: UMAR SERVICES, INC
• Entity Type: Organization
• Organization Name: UMAR SERVICES, INC
• Other - Org Name: UMAR SCALES STREET
• Other - Org Type: Other Name
• Authorized Official - Title/Position: PRESIDENT AND CEO
• Authorized Official - Prefix: MS
• Authorized Official - First Name: MARILYN
• Authorized Official - Last Name: GARNER
• Authorized Official - Phone: 704-659-7630
• Mailing Address - Street 1: 5350 77 CENTER DR STE 201
• Mailing Address - Street 2: UMAR WNC, INC
• Mailing Address - City: CHARLOTTE
• Mailing Address - State: NC
• Mailing Address - Zip Code: 28217-2783
• Mailing Address - Country: US
• Mailing Address - Phone: 704-659-7636
• Practice Address - Street 1: 239 S SCALES ST
• Practice Address - City: REIDSVILLE
• Practice Address - State: NC
• Practice Address - Zip Code: 27320-3835
• Practice Address - Country: US
• Practice Address - Phone: 336-349-3298
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: UNITED METHODIST AGENCY FOR THE RETARDED WESTERN NORTH CAROLINA, INC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2014-10-21
• Last Update Date: 2017-09-21

Provider Licenses

State	License ID	Taxonomies
NC	MHL-079-127	251C00000X, 251S00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	251S00000X	Agencies	Community/Behavioral Health
No	251C00000X	Agencies	Day Training, Developmentally Disabled Services

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	7802516	Medicaid
NC	7805230	Medicaid
NC	7802198	Medicaid
NC	7804104	Medicaid
NC	7806126	Medicaid
NC	7802200	Medicaid
NC	7802810	Medicaid
NC	7803966	Medicaid
NC	7802744	Medicaid
NC	7804012	Medicaid
NC	7804065	Medicaid
NC	7804103	Medicaid
NC	7804278	Medicaid
NC	7805306	Medicaid
NC	7805458	Medicaid
NC	7806020	Medicaid
NC	7802360	Medicaid
NC	3408796	Medicaid
NC	7806141	Medicaid
NC	7802523	Medicaid
NC	7802643	Medicaid
NC	7802987	Medicaid
NC	7803010	Medicaid
NC	7803215	Medicaid