MEDICARE: UMAR SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-060-578	NC
2	251S00000X	Community/Behavioral Health Agency	MHL-060-578	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003094764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UMAR SERVICES, INC

Provider Business Mailing Address
First Line	:	5350 77 CENTER DR SUITE 201
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-2783
Country	:	US
Telephone Number	:	704-875-1328
Fax Number	:	704-875-9276

Provider Business Practice Location Address
First Line	:	2435 UMAR CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-3259
Country	:	US
Telephone Number	:	704-566-0245
Fax Number	:

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	MARILYN GARNER
Credential	:
Telephone Number	:	704-659-7630

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	09/21/2017

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Directions to “UMAR SERVICES, INC ” Practice Location

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