EASTER SEALS UCP (NPI# 1659782449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659782449 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP |
| Practice Address |
913 Carolina Ave Statesville NC 28677 |
| Practice Telephone | 7048710934 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MRS. ELLY PERDUE (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 7048710934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A10769 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558786046 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl., Suite 100, Raleigh, NC 27607 | 2014-02-20 |
| 1457745697 | Easter Seals Ucp | Counselor | 4038 Capital Dr, Rocky Mount, NC 27804-3123 | 2015-03-25 |
| 1891135810 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl, 100, Raleigh, NC 27607 | 2013-07-05 |
| 1225396013 | Easter Seals Ucp | Community/Behavioral Health | 2260 S Church St, Suite 303, Burlington, NC 27215-5390 | 2012-04-30 |
| 1851547129 | Easter Seals Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2008-08-18 |
| 1992841985 | Easter Seals Ucp | Custodial Care Facility | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-29 |
| 1023154036 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-29 |
| 1679627392 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-22 |
| 1144374869 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-22 |
| 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 |
| Virginia Business Entities | Easter Seals UCP Virginia Inc. | 5171 Glenwood Avenue, Ste 400, Raleigh, North Carolina 27612-3266 |
| Street Address |
913 CAROLINA AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| 1114227386 | Simply Speech Pllc | Clinic/Center | 301 E. Front St., Statesville, NC 28677 | 2010-10-22 |
| Find all providers in zip 28677 | ||||
| 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 |
|---|---|---|---|---|
| 1477058899 | Life Journey Care | Community/Behavioral Health | 898 River Hill Rd, Statesville, NC 28625-9112 | 2018-03-27 |
| 1316359961 | Winford Brown Ramseur & Assoc | Community/Behavioral Health | 132 Court St, Statesville, NC 28677-5803 | 2014-05-29 |
| 1154602886 | Rha Health Services Nc, LLC | Community/Behavioral Health | 148 James Farm Rd, Statesville, NC 28625-2707 | 2011-09-08 |
| 1609157338 | Rha Health Services Nc, LLC | Community/Behavioral Health | 3329 Winchester Ln, Statesville, NC 28625-4546 | 2011-09-08 |
| 1427339159 | Rha Health Services Nc, LLC | Community/Behavioral Health | 335 N Greenbriar Rd, Statesville, NC 28625-4536 | 2011-09-08 |
| 1518248244 | Rha Health Services Nc, LLC | Community/Behavioral Health | 303 Saint Andrews Rd, Statesville, NC 28625-4658 | 2011-09-08 |
| 1659514636 | Cnc Access Inc | Community/Behavioral Health | 110 Stockton St, Statesville, NC 28677-5253 | 2009-04-07 |
| 1891936076 | Paths To Success | Community/Behavioral Health | 215 S Tradd St, Statesville, NC 28677-5859 | 2009-03-17 |
| 1780850685 | Barium Springs Home for Children | Community/Behavioral Health | 211 Barium Springs Drive, Stultz Building Therapeutic Foster Care, Statesville, NC 28677 | 2008-05-01 |
| 1154448439 | Barium Springs Home for Children | Community/Behavioral Health | 222 Knox St, Statesville, NC 28677 | 2007-03-23 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on EASTER SEALS UCP.
| 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.