EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1932245040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932245040 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
704 Se 2nd St Snow Hill NC 28580-1631 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 2527473654 |
| Mailing Telephone | 9197838898 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | JELORE LITTLE (DIR, CONTRACTS & CREDENTIALING) |
| Authorized Official Telephone | 3365456338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6600867 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 N Cool Spring St, Fayetteville, NC 283015134 | 9105006606 |
| 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 |
| 1437448750 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community Health Worker | 1142 North Andy Griffith Parkway, Mount Airy, NC 27030-2954 | 2011-04-07 |
| Street Address |
704 SE 2ND ST |
| City | SNOW HILL |
| State | NC |
| Zip Code | 28580-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932245982 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community/Behavioral Health | 704 Se 2nd St, Snow Hill, NC 28580-1631 | 2007-01-29 |
| 1174669188 | Easter Seals Ucp North Carolina | Custodial Care Facility | 704 Se 2nd St, Snow Hill, NC 28580-1631 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823698 | Gavin Mundy | Student in an Organized Health Care Education/Training Program | 7 Professional Drive, Snow Hill, NC 28580 | 2016-03-17 |
| 1689870222 | Edwards Community Support Services | Community Based Residential Treatment Facility, Mental Illness | 202 Hart Street, Snow Hill, NC 28580 | 2007-06-21 |
| 1669686887 | Cheryl Taylor Carraway | Dentist | 1117 Se Second St, Snow Hill, NC 28580 | 2007-05-09 |
| 1306882337 | Carmen Lucia Moreno | Pediatrics | 205 Martin Luther King Jr Pkway, Snow Hill, NC 28580 | 2006-06-20 |
| 1134195142 | Alexander Robertson | Pediatrics | 205 Martin Luther King Jr Parkway, Snow Hill, NC 28580 | 2006-02-28 |
| 1700888542 | Greene County Health Care Incorporated | Clinic/Center | 205 Martin Luther King Jr Pkwy, Snow Hill, NC 28580 | 2005-08-11 |
| 1972092054 | Heritage Family Health and Wellness Pa | Family Medicine | 1108b Kingold Blvd, Snow Hill, NC 28580 | 2018-05-04 |
| 1013127067 | Christine C Miller | Registered Nurse | 227 Kingold Blvd Ste B, Snow Hill, NC 28580-1303 | 2007-05-22 |
| 1407975816 | Greene County Dss | Case Management | 227 Kingold Blvd Ste A, Snow Hill, NC 28580-1303 | 2007-03-28 |
| 1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
| Find all providers in zip 28580 | ||||
| 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 |
|---|---|---|---|---|
| 1821134818 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 944 Shady Grove Church Rd, Snow Hill, NC 28580-7074 | 2007-01-29 |
| 1376815365 | Sozo Family Care Home Inc | Custodial Care Facility | 2757 Mewborn Church Rd, Snow Hill, NC 28580-8973 | 2012-02-06 |
| 1174669188 | Easter Seals Ucp North Carolina | Custodial Care Facility | 704 Se 2nd St, Snow Hill, NC 28580-1631 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 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.