EASTER SEALS UCP NORTH CAROLINA& VIRGINIA, INC


Address: 1503 Wayne Memorial Dr, Unit E, Goldsboro, NC 27534-2203
Phone: 9195870001

EASTER SEALS UCP NORTH CAROLINA& VIRGINIA, INC (NPI# 1881834653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881834653
Entity Type Organization
Organization Name EASTER SEALS UCP NORTH CAROLINA& VIRGINIA, INC
Practice Address 1503 Wayne Memorial Dr
Unit E
Goldsboro
NC 27534-2203
Mailing Address 5171 Glenwood Ave
Suite 400
Raleigh
NC 27612-3266
Practice Telephone 9195870001
Practice Fax Number 9195870007
Mailing Telephone 9197838898
Mailing Fax Number 9197825486
Enumeration Date 2009-03-06
Last Update Date 2015-11-20
Authorized Official Name MR. RICHARD P EDWARDS (CONTRACT ADMINISTRATOR)
Authorized Official Telephone 9197838898
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 8300746H 05
NC 8300746B 05
NC 8300746F 05
NC 8300746I 05

Office Location

Street Address 1503 WAYNE MEMORIAL DR
UNIT E
City GOLDSBORO
State NC
Zip Code 27534-2203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154335511 Ralph Roger Berg Jr. Psychiatry & Neurology 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 2006-07-28
1396283669 Destiny Nicole Bauer Counselor 1503 Wayne Memorial Dr, Goldsboro, NC 27534-2203 2017-02-07
1780810432 Clientfirst of Nc, LLC Community/Behavioral Health 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 2009-06-09
1073751327 Donald E Brown Jr. Psychiatry & Neurology 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 2009-01-25
1760515688 Amy D Drozda Social Worker 1503 Wayne Memorial Dr, Suite E, Goldsboro, NC 27534-2203 2007-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457875767 Trent Jonathan Forshey Physical Therapist 2126 Wayne Memorial Dr, Goldsboro, NC 27534 2017-07-28
1336685551 Wayne Al Holdings, LLC Assisted Living Facility 901 West New Hope Rd, Goldsboro, NC 27534 2017-01-11
1952845471 Latoya Faulk Social Worker 121 Carolina Forest Drive, Goldsboro, NC 27534 2016-12-19
1528415841 Kelby Joseph Sage Durnin Military Health Care Provider 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 2016-05-17
1528490604 Eric Christian Bourgeois Physical Therapist 1101a Gracie Pl, Goldsboro, NC 27534 2013-07-31
1831439165 Erica Nicole Davis Optometrist 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 2013-02-23
1891039236 Betty Webb Zimmerman Nurse Practitioner 204 Cox Blvd, Goldsboro, NC 27534 2012-11-26
1144595265 Life Recovery Psychological Services Counselor 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 2012-03-22
1558596536 Taylor Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 802 Taylor St, Goldsboro, NC 27534 2009-05-20
1780895136 Sherrie Fennell Edwards Dietitian, Registered 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 2007-05-25
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962040782 Monarch Community/Behavioral Health 2717 Isaac Dr, Goldsboro, NC 27530-8120 2019-12-11
1659837383 Building Healthy Minds, LLC Community/Behavioral Health 515 N George St, Goldsboro, NC 27530-2724 2019-02-19
1588027833 Kaleo Supports, Inc. Community/Behavioral Health 300 Autumn Winds Dr, Goldsboro, NC 27530-2506 2016-04-04
1538589593 Uloanda Parham Community/Behavioral Health 608 N Madison Ave, Goldsboro, NC 27530-3100 2014-04-17
1013340173 Carolina Outreach, LLC Community/Behavioral Health 139 N Center St, Goldsboro, NC 27530-3620 2013-08-13
1619242518 Carolina Residential Services, Inc. Community/Behavioral Health 714 Simmons St, Goldsboro, NC 27530-3843 2012-03-12
1326342460 Laychris Group, Inc Community/Behavioral Health 206 W Ash St Ste 2, Goldsboro, NC 27530-3663 2011-01-04
1750684015 Nova-ic, Inc. Community/Behavioral Health 1216 North Dr, Goldsboro, NC 27534-1858 2010-12-08
1831490002 Family Connections of Goldsboro, LLC Community/Behavioral Health 701 E Ash St, Goldsboro, NC 27530-3801 2010-11-04
1629387220 Bridges of Hope Inc Community/Behavioral Health 201 W Ash St Ste 1, Goldsboro, NC 27530-3665 2010-09-29
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Competitor

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City GOLDSBORO
Zip Code 27534

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Dataset Information

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.

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