EASTER SEALS UCP NORTH CAROLINA & VIRGINIA (NPI# 1205262110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205262110 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA |
| Practice Address |
2020 Remount Rd Ste E-109 Gastonia NC 28054-7476 |
| Mailing Address |
5171 Glenwood Ave Ste 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9197838898 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | RICHARD EDWARDS (VP) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265868228 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 3321 Princeton Mill Pkwy, Raleigh, NC 27612-5518 | 2013-09-23 |
| 1619303252 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 851 Hadley Rd, Raleigh, NC 27610-4716 | 2013-09-14 |
| 1528494168 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 11381 Involute Pl, Suite 103, Raleigh, NC 27617-8520 | 2013-09-14 |
| 1700212347 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 6011 Winterpointe Ln, Raleigh, NC 27606-5013 | 2013-09-14 |
| 1538593132 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 813 Chalmers St, Durham, NC 27707-4806 | 2013-08-30 |
| 1356778716 | Easter Seals Ucp North Carolina & Virginia | Case Management | 11635 N Main St, Ste A, Archdale, NC 27263-3270 | 2013-10-01 |
| 1619304078 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 200 Webb Blvd, Havelock, NC 28532-1930 | 2013-10-01 |
| 1265869622 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 200 W 4th St, Greenville, NC 27858-1816 | 2013-10-01 |
| 1497181309 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3305 16th Ave Se, Conover, NC 28613-9213 | 2013-09-24 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Easter Seals UCP North Carolina & Virginia Inc. | 5171 Glenwood Ave Ste 211, Raleigh, North Carolina 27612-3266 |
| Street Address |
2020 REMOUNT RD STE E-109 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134136740 | Footprints Carolina, Inc | Community/Behavioral Health | 2020 Remount Rd, Gastonia, NC 28054-7437 | 2006-08-03 |
| 1265959100 | Broken Pieces Services LLC | Counselor | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2017-08-22 |
| 1205176344 | Verteena Marie Johnson | Social Worker | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2013-02-27 |
| 1164761904 | Tisha Phillips | Social Worker | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2013-02-13 |
| 1578802971 | David Keith Hart | Counselor | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2013-02-05 |
| 1275872988 | Stephanie Adams Rodriguez | Counselor | 2020 Remount Rd, Suite 100, Gastonia, NC 28054-7476 | 2013-02-01 |
| 1073876801 | Barium Springs Home for Children | Community/Behavioral Health | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2012-06-18 |
| 1184986739 | Barium Springs Home for Children | Community/Behavioral Health | 2020 Remount Rd, Gastonia, NC 28054-7476 | 2012-06-11 |
| 1588992648 | Difference Makers Foundation | Social Worker | 2020 Remount Rd, Suite E-106, Gastonia, NC 28054-7476 | 2009-12-01 |
| 1275670341 | Rebekkah Kelley Clay | Speech-Language Pathologist | 2020 Remount Rd, Suite E-111, Gastonia, NC 28054-7476 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1306381801 | A Better Concept | Community Based Residential Treatment Facility, Mental Illness | 3019 Fallswood Dr, Gastonia, NC 28052-6054 | 2016-12-20 |
| 1861943474 | Rockhouse Mental Health Care Agency LLC | Community Based Residential Treatment Facility, Mental Illness | 1518 Belmar Dr, Gastonia, NC 28052-5103 | 2016-10-18 |
| 1326474008 | Melange Health Solutions, LLC | Community Based Residential Treatment Facility, Mental Illness | 1818 West Fifth Avenue, Gastonia, NC 28054 | 2013-09-25 |
| 1285983528 | Alternative Community Penalties Program, Inc. | Community Based Residential Treatment Facility, Mental Illness | 400 East Fifth Avenue, Gastonia, NC 28054 | 2012-08-31 |
| 1144510850 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2004 Twin Ave, Gastonia, NC 28052-1369 | 2011-04-14 |
| 1164658597 | Innovative Compliance Solutions | Community Based Residential Treatment Facility, Mental Illness | 4912 Duncan Ln, Gastonia, NC 28056-9361 | 2009-05-29 |
| 1417149311 | Bridgebuilders Family & Youth Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 1219 Cambridge Ave, Gastonia, NC 28054-1528 | 2007-08-14 |
| 1093838237 | Footprints Carolina Inc | Community Based Residential Treatment Facility, Mental Illness | 970 Roberts Dr, Gastonia, NC 28054-5804 | 2007-04-10 |
| Find all providers in GASTONIA | ||||
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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.