# THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cypress Glen Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720412331
- **Authorized official:** MR. JONATHAN ERICKSON (ASSISTANT SECRETARY/CORP EXEC DIR)
- **Authorized official phone:** (919) 384-3001

## Contact information

- **Practice address:** 100 HICKORY ST, GREENVILLE, NC 27858
- **Practice address phone:** (252) 830-0036
- **Practice address fax:** (252) 830-0411
- **Mailing address:** 100 HICKORY ST, GREENVILLE, NC 27858-1637
- **Mailing address phone:** (252) 830-0036
- **Mailing address fax:** (252) 830-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0473 | NC | Yes |

## Other

- **Enumeration date:** 08/30/2013
- **Last updated:** 07/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009CH | BLUE CROSS BLUE SHIELD | NC |