EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1952685307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952685307 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
3108 Tilghman Rd N Wilson NC 27896-8931 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 2522434291 |
| Mailing Telephone | 9197838898 |
| Enumeration Date | 2011-10-04 |
| 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 | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-098-170 | NC | Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| 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 |
3108 TILGHMAN RD N |
| City | WILSON |
| State | NC |
| Zip Code | 27896-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543972 | Realo Discount Drug Stores of Eastern North Carolina, Inc | Durable Medical Equipment & Medical Supplies | 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 | 2018-10-02 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1144744517 | Sara Lynn Campbell | Physical Therapist | 3200 Nash Street North, Wilson, NC 27896 | 2017-07-27 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1508122615 | Charlotte Hurt | Social Worker | 910 Raleigh Rd Parkway, Wilson, NC 27896 | 2012-04-03 |
| 1447542139 | Sarah Elizabeth Kirby Bischoff | Pharmacist | 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 | 2011-05-12 |
| 1235462342 | Wilson Medical Group | Non-Pharmacy Dispensing Site | 3302 Nash St North, Wilson, NC 27896 | 2009-09-09 |
| 1164662466 | My Friend's House, LLC | Community Based Residential Treatment Facility, Mental Illness | 3607 Columbia Avenue, Wilson, NC 27896 | 2009-02-26 |
| Find all providers in zip 27896 | ||||
| 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 |
|---|---|---|---|---|
| 1851840516 | Iris Reid | Custodial Care Facility | 4805 Green Wing Rd, Wilson, NC 27893-8142 | 2016-09-22 |
| 1750416558 | Miss Daisy's & Associates, Inc | Custodial Care Facility | 500 Ward Blvd, #c, Wilson, NC 27893-1753 | 2007-02-22 |
| 1013459643 | Positive Life Styles | Custodial Care Facility | 4805 Green Wing Rd, Wilson, NC 27893-8142 | 2016-11-14 |
| 1851673016 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 1502 Pineview Ave Nw, Wilson, NC 27896-2041 | 2011-09-14 |
| 1184878605 | George's House, LLC | Custodial Care Facility | 809 Selma St Sw, Wilson, NC 27893-4723 | 2008-11-11 |
| 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 | ||||
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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.