EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1558425355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558425355 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
4038 Capital Dr Rocky Mount NC 27804-3123 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 2524672860 |
| Practice Fax Number | 2524672865 |
| Mailing Telephone | 9197838898 |
| Mailing Fax Number | 9197825486 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | MR. RICHARD P EDWARDS (CONTRACT ADMINISTRATOR) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300676 | 05 | |
| NC | 8300676A | 05 | |
| NC | 8300676H | 05 | |
| NC | 8300676B | 05 | |
| NC | 8300676G | 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 |
4038 CAPITAL DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745697 | Easter Seals Ucp | Counselor | 4038 Capital Dr, Rocky Mount, NC 27804-3123 | 2015-03-25 |
| 1275679383 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 4038 Capital Dr, Rocky Mount, NC 27804-3123 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| 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 |
|---|---|---|---|---|
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1265084321 | Core Concepts, LLC | Community/Behavioral Health | 20 W Court St, Rocky Mount, VA 24151-1304 | 2019-07-09 |
| 1235609546 | Impact A.b.a. Therapy, Inc. | Community/Behavioral Health | 3661 Sunset Ave Ste 353, Rocky Mount, NC 27804-3411 | 2018-11-29 |
| 1720412182 | Herron Counseling, Inc | Community/Behavioral Health | 95 Maple Ave, Suite B, Rocky Mount, VA 24151-1550 | 2013-08-21 |
| 1346680543 | Monarch | Community/Behavioral Health | 809 Tiffany Blvd, Rocky Mount, NC 27804-1812 | 2013-07-02 |
| 1518305861 | Monarch | Community/Behavioral Health | 169 Wayfarer Ct, Rocky Mount, NC 27801-6212 | 2013-06-10 |
| 1225473572 | Four Counties | Community/Behavioral Health | 1310 Niblick Dr, Rocky Mount, NC 27804-8652 | 2013-04-30 |
| 1396095147 | Kiononia Haven Homes, LLC | Community/Behavioral Health | 507 Tobacco Rd, Rocky Mount, NC 27801-6936 | 2012-09-19 |
| 1083961965 | Lechris Adult Day Care of Rocky Mount, Inc. | Community/Behavioral Health | 308 S Tillery St, Rocky Mount, NC 27804-5870 | 2012-08-09 |
| 1982980157 | Day One Supportive Services | Community/Behavioral Health | 304 Forest Hill Ave, Rocky Mount, NC 27804-3732 | 2011-11-01 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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.