EASTERSEALS UCP NORTH CAROLINA & VIRGINIA (NPI# 1740617109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740617109 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS UCP NORTH CAROLINA & VIRGINIA |
| Practice Address |
3405 W Wendover Ave Ste H Greensboro NC 27407-2377 |
| Mailing Address |
5171 Glenwood Ave Ste 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9197838898 |
| Mailing Telephone | 9197838898 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| 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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699196725 | Easterseals Ucp North Carolina & Virginia | Assisted Living Facility | 108 Guinevere Ln, Greenville, NC 27858-8628 | 2013-12-16 |
| Street Address |
3405 W WENDOVER AVE STE H |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627614 | Susie Ozetta Troxler | Psychologist | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2005-05-30 |
| 1285187005 | Shakera Williams | Social Worker | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2016-07-28 |
| 1114339983 | Aja Thomas | Counselor | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2014-05-28 |
| 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 |
| 1356691182 | Zephaniah Services Pllc | Psychologist | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2012-09-19 |
| 1144599879 | Healthcore Resource | Community/Behavioral Health | 3405 W Wendover Ave, Ste E., Greensboro, NC 27407-2377 | 2011-12-27 |
| 1225339260 | Jakime Lamar Ellison | Counselor | 3405 W Wendover Ave, Suite A, Greensboro, NC 27407-2377 | 2010-11-08 |
| 1053473991 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 3405 W Wendover Ave, Suite C, Greensboro, NC 27407-2377 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| 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 |
|---|---|---|---|---|
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1760982888 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 300 Bingham St, Greensboro, NC 27401 | 2018-02-15 |
| 1659757110 | Crestbrook Rehabilitation | Community Based Residential Treatment Facility, Mental Illness | 2814 Liberty Oaks Dr Apt A, Greensboro, NC 27406-9754 | 2015-08-07 |
| 1811373624 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5221 Fox Hunt Dr, B, Greensboro, NC 27407-7143 | 2015-08-04 |
| 1598141582 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 318 E Vandalia Rd, Greensboro, NC 27406-5906 | 2015-08-03 |
| 1396133203 | Youth Enrichment Group Home Inc | Community Based Residential Treatment Facility, Mental Illness | 321 E Montcastle Dr Unit F, Greensboro, NC 27406-5344 | 2014-12-30 |
| 1346511748 | Blessed New Beginnings, LLC | Community Based Residential Treatment Facility, Mental Illness | 515 Guilford College Rd, Greensboro, NC 27409-2015 | 2012-01-18 |
| 1851673875 | Warm Hearts Family Care | Community Based Residential Treatment Facility, Mental Illness | 4113 Summerglen Dr, Greensboro, NC 27406-6425 | 2011-09-15 |
| 1972882868 | Griffin Supervised Living | Community Based Residential Treatment Facility, Mental Illness | 2 Partnership Ct, Greensboro, NC 27405-5200 | 2011-08-09 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on EASTERSEALS 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.