EASTER SEALS UCP NORTH CAROLINA & VIRIGINIA (NPI# 1831525740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831525740 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRIGINIA |
| Practice Address |
4293 Highway 24 27 E Ste A Ste A Midland NC 28107-8500 |
| Mailing Address |
5171 Glenwood Ave Ste 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9197838898 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | RICAHRD EDWARDS (ENROLLMENT COORDINTOR) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
4293 HIGHWAY 24 27 E STE A STE A |
| City | MIDLAND |
| State | NC |
| Zip Code | 28107-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889965 | Jess P West Jr. | Dentist | 12180 Us-601 South, Midland, NC 28107 | 2020-07-23 |
| 1487841250 | Crawley Memorial Hospital Inc. | Skilled Nursing Facility | 315 West College Ave, Boiling Springs, NC 28107 | 2007-09-26 |
| 1912943192 | Amie L Howe | Pharmacist | 12925 Hwy 601 South, Midland, NC 28107 | 2006-06-22 |
| 1225522949 | Luckhardt, Pllc | Clinic/Center | 12925 Highway 601, Midland, NC 28107 | 2018-06-16 |
| 1972986321 | Diana L Millard | Dentist | 12925 Highway 601, Midland, NC 28107 | 2015-07-02 |
| 1437470739 | Janice B Furr | Occupational Therapy Assistant | 8670 Hwy. 200 North, Midland, NC 28107-0000 | 2010-06-21 |
| 1518197623 | Rha Howell Care Center | Respite Care | 11955 Howell Center Drive, Midland, NC 28107-0000 | 2009-07-23 |
| 1487197547 | Katherine Moore Henriques Fernandez | Occupational Therapist | 601 Small Country Ln, Midland, NC 28107-7239 | 2016-11-22 |
| 1063918027 | Jeannie Legate | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
| 1306342365 | Gabrielle Grubic | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
| Find all providers in zip 28107 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
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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.