Provider Demographics
NPI:1891007506
Name:UNIVERSAL HEALTH CARE/NASHVILLE, INC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH CARE/NASHVILLE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/R DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:SUTTON
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-464-1817
Mailing Address - Street 1:301 10TH ST NW
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-2419
Mailing Address - Country:US
Mailing Address - Phone:828-464-1817
Mailing Address - Fax:828-464-8137
Practice Address - Street 1:1022 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1718
Practice Address - Country:US
Practice Address - Phone:252-459-3014
Practice Address - Fax:252-459-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0500314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3425374Medicaid
NC7801835Medicaid
NC7801835Medicaid