EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1437448750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437448750 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
1142 North Andy Griffith Parkway Mount Airy NC 27030-2954 |
| Mailing Address |
5171 Glenwood Ave Ste 211 Raleigh NC 27612-3266 |
| Practice Telephone | 3367899492 |
| Practice Fax Number | 3367899587 |
| Mailing Telephone | 9197838898 |
| Mailing Fax Number | 9197825486 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | NASHEBA KEY-ALLRED (CONTRACT SPECIALIST) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408598 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302312 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community/Behavioral Health | 3817 Cheek Rd, Durham, NC 27704-4901 | 2013-09-12 |
| 1932470838 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 622 Bass Ln, Charlotte, NC 28270-2231 | 2012-01-24 |
| 1326315268 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 1302 Second St, North Wilkesboro, NC 28659-3851 | 2011-11-21 |
| 1669758330 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 711 Andrews Ridge Rd, Sparta, NC 28675-8106 | 2011-10-26 |
| 1952685307 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 3108 Tilghman Rd N, Wilson, NC 27896-8931 | 2011-10-04 |
| 1215211651 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 3406 Old Buffaloe Rd, Raleigh, NC 27604-4290 | 2011-10-04 |
| 1154603322 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 2304 Havering Pl, Raleigh, NC 27604-0803 | 2011-09-14 |
| 1629364591 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community/Behavioral Health | 305 Stoneridge Blvd, Asheville, NC 28804 | 2011-06-20 |
| 1811288574 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community/Behavioral Health | 4600 Mockingbird Ln, Wilmington, NC 28409-5617 | 2011-04-28 |
| 1083918205 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community/Behavioral Health | 5171 Glenwood Ave Ste 400, Raleigh, NC 27612-3266 | 2011-01-03 |
| Street Address |
1142 NORTH ANDY GRIFFITH PARKWAY |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922430677 | Pqa Healthcare,inc | Community/Behavioral Health | 452 Franklin St, Mount Airy, NC 27030-4508 | 2013-08-05 |
| 1508982323 | Barium Springs Home for Children | Community/Behavioral Health | 1249 North South Street, No 100, Mount Airy, NC 27030-3850 | 2007-03-22 |
| 1740312198 | Carolina Residential Services, Inc. | Community/Behavioral Health | 145 N Gilmer St, Mount Airy, NC 27030-3842 | 2007-03-12 |
| 1700911211 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 150 Franklin St, Mount Airy, NC 27030-4502 | 2007-02-23 |
| 1700929445 | Carolina Residential Services, Inc | Community/Behavioral Health | 910 Spring St, Mount Airy, NC 27030-5512 | 2007-02-14 |
| 1073693149 | Behavioral Services, Inc. | Community/Behavioral Health | 2342 S Main St, Mount Airy, NC 27030-6365 | 2006-10-16 |
| 1386076453 | Pqa Healthcare, Inc | Community/Behavioral Health | 140 Franklin St, Mount Airy, NC 27030-4502 | 2013-07-31 |
| 1912181140 | Partnership for A Drug Free Nc Inc | Community/Behavioral Health | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-12-24 |
| 1053512376 | New River Service Authority | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3878 | 2007-05-31 |
| 1144356049 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 150 Franklin St, Mount Airy, NC 27030-4502 | 2007-02-26 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on EASTER SEALS UCP 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.