EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.


Address: 4600 Mockingbird Ln, Wilmington, NC 28409-5617
Phone: 9103136653

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1811288574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811288574
Entity Type Organization
Organization Name EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Practice Address 4600 Mockingbird Ln
Wilmington
NC 28409-5617
Mailing Address 5171 Glenwood Ave
Suite 400
Raleigh
NC 27612-3266
Practice Telephone 9103136653
Mailing Telephone 9197838898
Enumeration Date 2011-04-28
Last Update Date 2018-09-24
Authorized Official Name NASHEBA KEY-ALLRED (CREDENTIALING SPECIALIST)
Authorized Official Telephone 9198658632
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
MHL-065-223 NC Nursing & Custodial Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
4601 Spring View Dr, Wilmington, NC 284052427 9103136653

Other Provider IDs and Locations

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
1437448750 Easter Seals Ucp North Carolina & Virginia, Inc. Community Health Worker 1142 North Andy Griffith Parkway, Mount Airy, NC 27030-2954 2011-04-07
1083918205 Easter Seals Ucp North Carolina & Virginia, Inc. Community/Behavioral Health 5171 Glenwood Ave Ste 400, Raleigh, NC 27612-3266 2011-01-03

Office Location

Street Address 4600 MOCKINGBIRD LN
City WILMINGTON
State NC
Zip Code 28409-5617

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952916728 Emily Savannah Holland Specialist/Technologist 1150 King's Hwy, Wilmington, NC 28409 2020-09-09
1912373465 Thomas Malenfant Hearing Instrument Specialist 474 New Centre Drive, #6, Wilmington, NC 28409 2015-08-19
1720482862 Leslie Morton Garris Pharmacist 6013 Chancellorville Drive, Wilmington, NC 28409 2014-10-17
1659621720 Charles Warren Moorehead Social Worker 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 2012-09-14
1992972020 Nancy Beth Kotz Social Worker 6211 Terrapin Ct, Wilmington, NC 28409 2008-05-08
1366611089 Michael Royce Penland Psychologist 5002-1 Hewletts Run, Wilmington, NC 28409 2008-02-27
1184755092 Keith W Mann Dentist 818-101 Pine Grove Drive, Wilmington, NC 28409 2007-03-09
1477650554 Jeffrey Beecham Chick Specialist 1201 Porches Dr, Suite 2, Wilmington, NC 28409 2006-09-20
1407964067 Richard A. Lally Counselor 5425 Golden Eagle Court, Wilmington, NC 28409 2006-08-25
1598290520 Monaca Lachman Counselor 6020 Leeward Ln, Wilmington, NC 28409-0129 2017-04-27
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013382811 Joy and Devotion Family Services, Inc. Assisted Living Facility 5616 Old Garden Rd Apt 101, Wilmington, NC 28403-4435 2015-12-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265032320 Healthy Moral Homes, LLC Assisted Living Facility 1513 Parks Village Rd, Zebulon, NC 27597-9580 2020-10-28
1578182556 Connecting Dots Counseling Services Assisted Living Facility 2305 Woodbury Dr, Hillsborough, NC 27278-6620 2020-04-10
1629600770 Safe Haven Facilities LLC Assisted Living Facility 412 Warren St, Williamston, NC 27892-2454 2020-02-06
1609406578 True Nobility Care, LLC Assisted Living Facility 206 S Bend Dr, Durham, NC 27713-6163 2020-01-20
1265998124 Valerie Smith Assisted Living Facility 112 Shore Lake Dr Apt A, Greensboro, NC 27455-1452 2019-02-15
1376018895 Abraham E Ketter Assisted Living Facility 4708 Twisted Oaks Rd Apt 104, Charlotte, NC 28212-7317 2018-10-11
1275014359 Paris Washington Assisted Living Facility 3220 Atlas Dr, Charlotte, NC 28269-4193 2018-08-27
1396232195 Southern Living for Seniors of Burnsville Nc LLC Assisted Living Facility 270 Love Fox Rd, Burnsville, NC 28714-9109 2018-04-17
1598123564 Hills Dda Group Home Assisted Living Facility 2017 Eastridge Cir, Kinston, NC 28501-5224 2016-02-05
1831581289 Duckworth Acquisitions LLC Assisted Living Facility 3341 Old Hwy 10 East, Nebo, NC 28761-6768 2015-02-23
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Competitor

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City WILMINGTON
Zip Code 28409

Improve Information

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Dataset Information

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.

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