EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC. (NPI# 1942515572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942515572 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
124 Ridge Run Marshville NC 28103-1363 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 7046243132 |
| Practice Fax Number | 7046246939 |
| Mailing Telephone | 9197838898 |
| Mailing Fax Number | 9197825486 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | RICHARD EDWARDS (CONTRACT ADMINISTRATOR) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909570 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 90 Cindy Ln, Suite 100, Waynesville, NC 28786-1709 | 2010-08-18 |
| 1518272202 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Community/Behavioral Health | 206 Lenoir St, Ste O, Morganton, NC 28655-3124 | 2010-08-18 |
| 1972818664 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 46 Pinewood Rd, B, Roanoke Rapids, NC 27870-6274 | 2010-08-18 |
| 1982919668 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 89 Ashlyn Dr Se, Concord, NC 28025-3546 | 2010-08-18 |
| 1750696431 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 226 Misenheimer Dr Nw, Concord, NC 28025-4617 | 2010-08-18 |
| 1932414083 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 425 Peedee Ave, Albemarle, NC 28001-4910 | 2010-08-13 |
| 1194030700 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 901 Berkshire Rd, Smithfield, NC 27577-4750 | 2010-08-09 |
| 1982919429 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 1125 Fairview Dr Sw, A, Lenoir, NC 28645-6082 | 2010-08-09 |
| 1427363118 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Community/Behavioral Health | 407 N College St, Morganton, NC 28655 | 2010-08-18 |
| 1790090488 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 811 Park Ave W, Wilson, NC 27893-3678 | 2010-08-18 |
| Street Address |
124 RIDGE RUN |
| City | MARSHVILLE |
| State | NC |
| Zip Code | 28103-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700062817 | The Upper Group Inc. | Local Education Agency (LEA) | 6017 Highway 74 West Blvd., Po.111, Marshville, NC 28103 | 2008-01-18 |
| 1578786562 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | Box 4213 Ridge Run St, Marshville, NC 28103 | 2007-04-10 |
| 1932277761 | Marshville Pharmacy Inc | Pharmacy | 6330 A West Marshville Blvd, Marshville, NC 28103 | 2006-12-01 |
| 1093791337 | Autumn Corporation | Skilled Nursing Facility | 311 W Phifer Rd, Marshville, NC 28103 | 2005-12-19 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1861744971 | Joseph Elmo Green | Family Medicine | 609 Old Hyw 74, Marshville, NC 28103-0146 | 2012-10-12 |
| 1932686425 | Pamela C Smith | Registered Nurse | 502 N Elm St, Marshville, NC 28103-1029 | 2018-07-26 |
| 1306977871 | Pierce Family Wellness Center, Pllc | Chiropractor | 6315 W Marshville Blvd, Marshville, NC 28103-1176 | 2007-03-08 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1104839935 | Americare Ehalth | Family Medicine | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2006-08-14 |
| Find all providers in zip 28103 | ||||
| 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 |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 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 | ||||
| City | MARSHVILLE |
| Zip Code | 28103 |
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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.