=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780590869
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | U&I GROUP HOLDING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2026
-----------------------------------------------------
Last Update Date | 08/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3836 PICKETT CT
-----------------------------------------------------
City | WAKE FOREST
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27587-7894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 150-883-7499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 321 HAMMOCK DUNES PL
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32828-8507
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 150-883-7499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | STEPHEN UTLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 150-883-7499
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BN1400X
-----------------------------------------------------
Taxonomy Name | Nursing Facility Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------