EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1053473991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053473991 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
3405 W Wendover Ave Suite C Greensboro NC 27407-2377 |
| Mailing Address |
5171 Glenwood Ave Suite 211 Raleigh NC 27612-3266 |
| Practice Telephone | 3365456338 |
| Mailing Telephone | 9197838898 |
| Mailing Fax Number | 9197825486 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | MRS. NASHEBA KEY-ALLRED (CONTRACT ADMINISTRATOR) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 830127C | 05 | |
| NC | 8301327H | 05 | |
| NC | 8301327G | 05 | |
| NC | 8301327A | 05 | |
| NC | 8301327F | 05 | |
| NC | 8301327I | 05 | |
| NC | 8301327 | 05 | |
| NC | NCBCBS | 018KJ | 01 |
| NC | 8301327B | 05 |
| 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 |
3405 W WENDOVER AVE SUITE C |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627614 | Susie Ozetta Troxler | Psychologist | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2005-05-30 |
| 1285187005 | Shakera Williams | Social Worker | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2016-07-28 |
| 1114339983 | Aja Thomas | Counselor | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2014-05-28 |
| 1740617109 | Easterseals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3405 W Wendover Ave, Ste H, Greensboro, NC 27407-2377 | 2013-10-01 |
| 1881020782 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3405 W Wendover Ave, Ste C, Greensboro, NC 27407-2377 | 2013-09-24 |
| 1356691182 | Zephaniah Services Pllc | Psychologist | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2012-09-19 |
| 1144599879 | Healthcore Resource | Community/Behavioral Health | 3405 W Wendover Ave, Ste E., Greensboro, NC 27407-2377 | 2011-12-27 |
| 1225339260 | Jakime Lamar Ellison | Counselor | 3405 W Wendover Ave, Suite A, Greensboro, NC 27407-2377 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827296 | Journey Adult Day Social Center | Case Management | 1451 S Elm Eugene St Ste 1211, Greensboro, NC 27406-2200 | 2019-08-19 |
| 1689067191 | The Perfect Voice | Case Management | 5421 Guida Dr, Greensboro, NC 27410-5207 | 2015-03-08 |
| 1740607720 | Unifour One | Case Management | 1400 Battleground Ave Ste 144e, Greensboro, NC 27408-8029 | 2014-03-27 |
| 1750687794 | A Step Ahead Case Management | Case Management | 4002 Coltrain Rd, Greensboro, NC 27455-2632 | 2011-02-09 |
| 1639474760 | Triad Care, Inc. | Case Management | 306 Pomona Dr Ste F, Greensboro, NC 27407-1643 | 2011-01-21 |
| 1891098729 | Slides Inc | Case Management | 800 W Smith St, Suite 210, Greensboro, NC 27401-1911 | 2010-12-15 |
| 1316269186 | Guess Community Services,inc. | Case Management | 3816 N Elm St Ste C, Greensboro, NC 27455-2776 | 2010-02-22 |
| 1134455926 | Family Empowerment Institute | Case Management | 1600 E Wendover Ave, Greensboro, NC 27405-6871 | 2009-10-28 |
| 1396977104 | Guess Community Services,inc. | Case Management | 3818 N Elm St Ste C, Greensboro, NC 27455-2778 | 2009-08-12 |
| 1841422714 | Goodness of Dreams, LLC | Case Management | 2100 E Wendover Ave, Greensboro, NC 27405-6849 | 2009-08-11 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC..
| 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.