EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1750427704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750427704 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
4334 Lee Ave Sanford NC 27332-0708 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9197748313 |
| Mailing Telephone | 9197838898 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | MR. RICHARD EDWARDS (CONTRACT ADMINISTRATOR) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804450 | 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 |
4334 LEE AVE |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-0708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917904 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 4334 Lee Ave, Sanford, NC 27332-0708 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| 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 |
|---|---|---|---|---|
| 1851405294 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-19 |
| 1831723857 | Sanford Manor, LLC | Custodial Care Facility | 1115 Carthage St, Sanford, NC 27330-4162 | 2020-02-28 |
| 1730713751 | Sanford Senior Living, LLC | Custodial Care Facility | 1107 Carthage St, Sanford, NC 27330-4162 | 2020-02-28 |
| 1700446549 | Rctg, LLC | Custodial Care Facility | 1115 Carthage St, Sanford, NC 27330-4162 | 2019-06-14 |
| 1053971812 | Rctg, LLC | Custodial Care Facility | 1107 Carthage St, Sanford, NC 27330-4162 | 2019-06-14 |
| 1386917904 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 4334 Lee Ave, Sanford, NC 27332-0708 | 2012-02-13 |
| 1285743104 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-30 |
| 1205942067 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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.