EASTER SEALS UCP NORTH CAROLINA & VIRGINIA (NPI# 1447686407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447686407 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA |
| Practice Address |
941 S Mcpherson Church Rd Fayetteville NC 28303-5369 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9197838898 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | RICAHRD EDWARDS (VP) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care 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 |
| 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 |
941 S MCPHERSON CHURCH RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689778292 | Preferred Alternatives, Inc. | Home Health | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2006-09-12 |
| 1639460595 | Rha Health Services Inc | Community/Behavioral Health | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-04-27 |
| 1275824138 | Rha Health Services Inc | Community/Behavioral Health | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-04-27 |
| 1669771390 | Rha Health Services Inc | Day Training, Developmentally Disabled Services | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-03-21 |
| 1336443571 | Kimberly Deniece Williams | Counselor | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2011-01-03 |
| 1669787834 | Family Alternatives, Inc. | Case Management | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2010-08-12 |
| 1053552489 | Keva Jay Fennell | Counselor | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2009-03-14 |
| 1467621979 | Cheryl Sutton Torres | Counselor | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2008-02-28 |
| 1952480261 | Family Alternatives, Inc | Case Management | 941 S Mcpherson Church Rd, Fayetteville, NC 28303-5369 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| 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 |
|---|---|---|---|---|
| 1790299717 | Just One Touch Homes | Custodial Care Facility | 2320 Rustic Trl, Fayetteville, NC 28306-3238 | 2017-11-29 |
| 1982063327 | Subtle Living, LLC | Custodial Care Facility | 183 Bonney Ln, Fayetteville, NC 28306-3735 | 2016-02-13 |
| 1164824322 | Sure Care | Custodial Care Facility | 110 Sylvan Loop, Fayetteville, GA 30214-7439 | 2014-09-18 |
| 1376978155 | Exton LLC | Custodial Care Facility | 220 Price Rd, Fayetteville, GA 30215-2019 | 2013-09-11 |
| 1598070708 | Puretouch Wellness Haven,inc | Custodial Care Facility | 110 Chandler Way, Fayetteville, GA 30215-2122 | 2010-08-11 |
| 1679693600 | Mcleod Family Care Center of Fayetteville | Custodial Care Facility | 248 Livermore Dr, Fayetteville, NC 28314-8616 | 2007-03-31 |
| 1700906070 | Glenn Krystle Manor | Custodial Care Facility | 220 Davis St, Fayetteville, NC 28305-5346 | 2007-03-30 |
| 1124153382 | Mclean Family Care Home | Custodial Care Facility | 6487 Pleasant Rd, Fayetteville, NC 28314-0552 | 2007-02-21 |
| 1477604288 | Mcduffie Personal Care Services Inc | Custodial Care Facility | 1826 Wendover Dr, Fayetteville, NC 28304-1426 | 2007-01-16 |
| 1699847541 | Sophia B Pierce & Associates Inc | Custodial Care Facility | 611 Country Club Drive, Fayetteville, NC 28301 | 2006-11-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on EASTER SEALS UCP NORTH CAROLINA & VIRGINIA.
| 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.