EASTER SEALS UCP NORTH CAROLINA & VIRGINIA (NPI# 1265868806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265868806 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA |
| Practice Address |
314 Chapanoke Rd Raleigh NC 27603-3400 |
| Mailing Address |
5171 Glenwood Ave Apt 307 Raleigh NC 27612-3266 |
| Practice Telephone | 9197838898 |
| Mailing Telephone | 9197838898 |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | RICHARD EDWARDS (VP) |
| Authorized Official Telephone | 9197938898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1205262110 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 2020 Remount Rd, Ste E-109, Gastonia, NC 28054-7476 | 2013-09-24 |
| 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 |
| 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 |
314 CHAPANOKE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124163241 | Cheryl Mcclure Mcdougal | Speech-Language Pathologist | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2007-02-20 |
| 1023629441 | Eliza Dolly Gonzalez | Behavior Technician | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2020-08-10 |
| 1760009559 | Anne Elizabeth Bagnal | Behavior Technician | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2020-06-29 |
| 1942835517 | Erin Wingerson | Behavior Technician | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2020-03-04 |
| 1487288163 | Diana Gonzalez | Behavior Technician | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2020-03-03 |
| 1841847415 | Kayla Tenny | Behavior Technician | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2019-08-19 |
| 1487216115 | Amanda Mccurdy | Behavior Technician | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2019-07-02 |
| 1700289089 | Anna Swisher | Behavioral Analyst | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2014-10-01 |
| 1861827875 | Monika Gupta | Developmental Therapist | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2013-09-09 |
| 1053756494 | Jacqueline Michelle Hamilton | Behavioral Analyst | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688678 | Life Extensions LLC | Community/Behavioral Health | 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 | 2020-04-19 |
| 1639716368 | Monarch | Community/Behavioral Health | 1705 Beacon Bluff St, Raleigh, NC 27604-5446 | 2019-12-02 |
| 1700429396 | Transcending Limits Counseling Services Pllc | Community/Behavioral Health | 3445 Teravista Way, Raleigh, NC 27616-9310 | 2019-10-25 |
| 1497397137 | Ever-lasting Counseling Service LLC | Community/Behavioral Health | 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 | 2019-10-15 |
| 1285108373 | Metro Treatment of North Carolina L P | Community/Behavioral Health | 3911 New Bern Ave, Raleigh, NC 27610-1332 | 2019-01-11 |
| 1932670999 | Elevation Community Services, LLC | Community/Behavioral Health | 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 | 2018-12-16 |
| 1891297222 | Saving Hope, LLC | Community/Behavioral Health | 2501 Lilymount Dr, Raleigh, NC 27610-3476 | 2018-03-01 |
| 1508370776 | Resiliency In Recovery | Community/Behavioral Health | 3986 Cane Garden Dr, Raleigh, NC 27610-5696 | 2017-11-27 |
| 1467975318 | Aci Support Specialists, LLC | Community/Behavioral Health | 6832 Planting Ct, Raleigh, NC 27610-8705 | 2017-07-24 |
| 1134649601 | Aci Support Specialists, LLC | Community/Behavioral Health | 12367 Honeychurch St, Raleigh, NC 27614-7879 | 2017-06-26 |
| Find all providers in RALEIGH | ||||
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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.