EASTER SEALS UCP NORTH CAROLINA & VIRGINIA (NPI# 1265868228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265868228 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA |
| Practice Address |
3321 Princeton Mill Pkwy Raleigh NC 27612-5518 |
| Mailing Address |
5171 Glenwood Ave Raleigh NC 27612-3266 |
| Practice Telephone | 9197838898 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | RICHARD EDWARDS (VP) |
| Authorized Official Telephone | 9197938898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619303252 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 851 Hadley Rd, Raleigh, NC 27610-4716 | 2013-09-14 |
| 1528494168 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 11381 Involute Pl, Suite 103, Raleigh, NC 27617-8520 | 2013-09-14 |
| 1700212347 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 6011 Winterpointe Ln, Raleigh, NC 27606-5013 | 2013-09-14 |
| 1538593132 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 813 Chalmers St, Durham, NC 27707-4806 | 2013-08-30 |
| 1356778716 | Easter Seals Ucp North Carolina & Virginia | Case Management | 11635 N Main St, Ste A, Archdale, NC 27263-3270 | 2013-10-01 |
| 1619304078 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 200 Webb Blvd, Havelock, NC 28532-1930 | 2013-10-01 |
| 1265869622 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 200 W 4th St, Greenville, NC 27858-1816 | 2013-10-01 |
| 1205262110 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 2020 Remount Rd, Ste E-109, Gastonia, NC 28054-7476 | 2013-09-24 |
| 1497181309 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3305 16th Ave Se, Conover, NC 28613-9213 | 2013-09-24 |
| 1881020782 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3405 W Wendover Ave, Ste C, Greensboro, NC 27407-2377 | 2013-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Easter Seals UCP North Carolina & Virginia Inc. | 5171 Glenwood Ave Ste 211, Raleigh, North Carolina 27612-3266 |
| Street Address |
3321 PRINCETON MILL PKWY |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750516 | Alpha Residential Services LLC | Custodial Care Facility | 5842 Faringdon Pl Ste 2, Raleigh, NC 27609-3930 | 2018-05-15 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1437501863 | Matrone Primary Care | Custodial Care Facility | 2412 Windsor Trl, Raleigh, NC 27615-1200 | 2016-07-09 |
| 1861863805 | Second Touch LLC | Custodial Care Facility | 2528 1/2 Poole Rd, Raleigh, NC 27610-2820 | 2015-10-16 |
| 1669862074 | Novelty Healthcare Services Inc | Custodial Care Facility | 4004 Beaufain St, Raleigh, NC 27604-5072 | 2015-01-24 |
| 1184021131 | Esliker Samuels Inc. | Custodial Care Facility | 7305 Perry Creek Rd, Raleigh, NC 27616-6439 | 2014-11-19 |
| 1992111587 | Jace Healthcare Services Inc | Custodial Care Facility | 1921 Waters Dr, Raleigh, NC 27610-4836 | 2014-07-03 |
| 1801225958 | Pioneer Healthcare Inc. | Custodial Care Facility | 3417 Pritchard Ct, Raleigh, NC 27616-8972 | 2013-11-08 |
| 1619303252 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 851 Hadley Rd, Raleigh, NC 27610-4716 | 2013-09-14 |
| Find all providers in RALEIGH | ||||
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| 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.