EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.


Address: 5040 New Centre Drive, Ste F, Wilmington, NC 28403-1343
Phone: 9107905921

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI# 1871647503) 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) 1871647503
Entity Type Organization
Organization Name EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Practice Address 5040 New Centre Drive
Ste F
Wilmington
NC 28403-1343
Mailing Address 5171 Glenwood Ave
Suite 400
Raleigh
NC 27612-3266
Practice Telephone 9107905921
Mailing Telephone 9197838898
Mailing Fax Number 9197825486
Enumeration Date 2007-01-22
Last Update Date 2018-10-03
Authorized Official Name JELORE LITTLE (DIRECTOR, CONTRACTS & CREDENTIALING)
Authorized Official Telephone 3365456338
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 253J00000X Foster Care Agency Agencies
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 8301006B 05
NC 8301006H 05
NC 8301006A 05
NC 8301006I 05
NC 8303044 05
NC 8301006G 05
NC 8303044A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4130 Oleander Dr Ste 100, Wilmington, NC 284036844 9107941036

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
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

Office Location

Street Address 5040 NEW CENTRE DRIVE
STE F
City WILMINGTON
State NC
Zip Code 28403-1343

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NPI Name Taxonomy Address Enumeration
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1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
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1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891307070 Aviva Health Care Services Inc Community/Behavioral Health 6 Denny Rd Ste 104, Wilmington, DE 19809-3444 2020-08-19
1679192926 Wraparound Maryland, Inc Community/Behavioral Health 105 Rogers Rd Ste A, Wilmington, DE 19801-5619 2020-04-15
1457983165 Alapocas Collaborative Care, LLC Community/Behavioral Health 1601 Concord Pike Ste 66-68, Wilmington, DE 19803-3612 2020-02-11
1477011211 M&l Prodigy Healthcare Inc Community/Behavioral Health 1 Jewel Dr, Wilmington, MA 01887-3385 2019-03-11
1457824369 Ella Stanley Therapeutic Services, Inc. Community/Behavioral Health 1000 N West St Ste 1294, Wilmington, DE 19801-1050 2019-01-03
1134608136 Alliance Behavioral Health Community/Behavioral Health 24505 S Avalon Blvd Apt 12, Wilmington, CA 90744-1068 2018-08-09
1063999688 Tlc Operations, Inc Community/Behavioral Health 28 Beauregard Dr, Wilmington, NC 28412-6702 2018-07-26
1245752765 Janelle G. Evans LLC Community/Behavioral Health 27 Tamarack Ave, Wilmington, DE 19805-5049 2017-07-17
1538698980 Triad Ministry Inc Community/Behavioral Health 1104 N. Adams Street, Wilmington, DE 19801 2017-06-08
1356881551 Jay's House, Inc Community/Behavioral Health 25 N Pennewell Dr, Wilmington, DE 19809-3313 2017-03-07
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Competitor

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City WILMINGTON
Zip Code 28403

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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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