# UNIVERSAL HEALTH CARE / NORTH RALEIGH, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSAL HEALTH CARE / NORTH RALEIGH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144299702
- **Authorized official:** ALAN BEAVER (VP)
- **Authorized official phone:** (828) 459-2977

## Contact information

- **Practice address:** 5201 CLARKS FORK DR, RALEIGH, NC 27616-5868
- **Practice address phone:** (919) 872-7033
- **Practice address fax:** (919) 872-7035
- **Mailing address:** 5201 CLARKS FORK DR, RALEIGH, NC 27616-5868
- **Mailing address phone:** (919) 872-7033
- **Mailing address fax:** (919) 872-7035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0611 | NC | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 11/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001CW | BCBS PROVIDER NUMBER | NC |
| 05 | — | 3405529 | — | NC |
| 05 | — | 340614V | — | NC |
| 01 | — | 7100087 | EVERCARE PROVIDER NUMBER | NC |