EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC. (NPI# 1194030700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194030700 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
901 Berkshire Rd Smithfield NC 27577-4750 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9199347720 |
| Practice Fax Number | 9199347720 |
| Mailing Telephone | 9197838898 |
| Mailing Fax Number | 9197825486 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | RICHARD EDWARDS (VP) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909570 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 90 Cindy Ln, Suite 100, Waynesville, NC 28786-1709 | 2010-08-18 |
| 1518272202 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Community/Behavioral Health | 206 Lenoir St, Ste O, Morganton, NC 28655-3124 | 2010-08-18 |
| 1972818664 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 46 Pinewood Rd, B, Roanoke Rapids, NC 27870-6274 | 2010-08-18 |
| 1982919668 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 89 Ashlyn Dr Se, Concord, NC 28025-3546 | 2010-08-18 |
| 1750696431 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 226 Misenheimer Dr Nw, Concord, NC 28025-4617 | 2010-08-18 |
| 1932414083 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 425 Peedee Ave, Albemarle, NC 28001-4910 | 2010-08-13 |
| 1982919429 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 1125 Fairview Dr Sw, A, Lenoir, NC 28645-6082 | 2010-08-09 |
| 1942515572 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 124 Ridge Run, Marshville, NC 28103-1363 | 2010-08-06 |
| 1427363118 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Community/Behavioral Health | 407 N College St, Morganton, NC 28655 | 2010-08-18 |
| 1790090488 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 811 Park Ave W, Wilson, NC 27893-3678 | 2010-08-18 |
| Street Address |
901 BERKSHIRE RD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316385305 | Monarch | Community/Behavioral Health | 901 Berkshire Rd, Smithfield, NC 27577-4750 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047098 | Classic Care Holdings LLC | Assisted Living Facility | 105 Annie Parker Cir, Smithfield, NC 27577-3968 | 2018-09-20 |
| 1295219715 | Classic Care Holdings LLC | Assisted Living Facility | 103 Annie Parker Cir, Smithfield, NC 27577-3970 | 2018-09-20 |
| 1093299745 | Classic Care Holdings LLC | Assisted Living Facility | 101 Annie Parker Cir, Smithfield, NC 27577-3976 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032320 | Healthy Moral Homes, LLC | Assisted Living Facility | 1513 Parks Village Rd, Zebulon, NC 27597-9580 | 2020-10-28 |
| 1578182556 | Connecting Dots Counseling Services | Assisted Living Facility | 2305 Woodbury Dr, Hillsborough, NC 27278-6620 | 2020-04-10 |
| 1629600770 | Safe Haven Facilities LLC | Assisted Living Facility | 412 Warren St, Williamston, NC 27892-2454 | 2020-02-06 |
| 1609406578 | True Nobility Care, LLC | Assisted Living Facility | 206 S Bend Dr, Durham, NC 27713-6163 | 2020-01-20 |
| 1265998124 | Valerie Smith | Assisted Living Facility | 112 Shore Lake Dr Apt A, Greensboro, NC 27455-1452 | 2019-02-15 |
| 1376018895 | Abraham E Ketter | Assisted Living Facility | 4708 Twisted Oaks Rd Apt 104, Charlotte, NC 28212-7317 | 2018-10-11 |
| 1275014359 | Paris Washington | Assisted Living Facility | 3220 Atlas Dr, Charlotte, NC 28269-4193 | 2018-08-27 |
| 1396232195 | Southern Living for Seniors of Burnsville Nc LLC | Assisted Living Facility | 270 Love Fox Rd, Burnsville, NC 28714-9109 | 2018-04-17 |
| 1598123564 | Hills Dda Group Home | Assisted Living Facility | 2017 Eastridge Cir, Kinston, NC 28501-5224 | 2016-02-05 |
| 1013382811 | Joy and Devotion Family Services, Inc. | Assisted Living Facility | 5616 Old Garden Rd Apt 101, Wilmington, NC 28403-4435 | 2015-12-04 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.