EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC. (NPI# 1982919668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982919668 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC. |
| Practice Address |
89 Ashlyn Dr Se Concord NC 28025-3546 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 7047215912 |
| Practice Fax Number | 7047215913 |
| Mailing Telephone | 9197838898 |
| Mailing Fax Number | 9197825486 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | RICHARD EDWARDS (CONTRACT ADMINISTRATOR) |
| Authorized Official Telephone | 9197838898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909570 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 90 Cindy Ln, Suite 100, Waynesville, NC 28786-1709 | 2010-08-18 |
| 1518272202 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Community/Behavioral Health | 206 Lenoir St, Ste O, Morganton, NC 28655-3124 | 2010-08-18 |
| 1972818664 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 46 Pinewood Rd, B, Roanoke Rapids, NC 27870-6274 | 2010-08-18 |
| 1750696431 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 226 Misenheimer Dr Nw, Concord, NC 28025-4617 | 2010-08-18 |
| 1932414083 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 425 Peedee Ave, Albemarle, NC 28001-4910 | 2010-08-13 |
| 1194030700 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 901 Berkshire Rd, Smithfield, NC 27577-4750 | 2010-08-09 |
| 1982919429 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 1125 Fairview Dr Sw, A, Lenoir, NC 28645-6082 | 2010-08-09 |
| 1942515572 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 124 Ridge Run, Marshville, NC 28103-1363 | 2010-08-06 |
| 1427363118 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Community/Behavioral Health | 407 N College St, Morganton, NC 28655 | 2010-08-18 |
| 1790090488 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Assisted Living Facility | 811 Park Ave W, Wilson, NC 27893-3678 | 2010-08-18 |
| Street Address |
89 ASHLYN DR SE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1336663442 | Suburban Guardianship, LLC. | Custodial Care Facility | 1061 Union St S, Concord, NC 28025-5778 | 2017-07-31 |
| 1275088064 | Rha Health Services Nc LLC | Custodial Care Facility | 656 Bright Orchid Ave, Concord, NC 28025-9034 | 2016-08-22 |
| 1437472651 | Monarch | Custodial Care Facility | 43 Ridge Ct Se, Concord, NC 28025-3836 | 2010-03-02 |
| 1265649339 | F&s Professional Services | Custodial Care Facility | 634 Devereaux Ct Ne, Concord, NC 28025-2514 | 2007-05-17 |
| 1457483992 | Gbm Investments & Trading Corp | Custodial Care Facility | 1785 Billings Rd, Concord, CA 94519-2805 | 2007-03-11 |
| 1558981324 | Carefront Residential Living LLC | Custodial Care Facility | 4086 Tulare Dr, Concord, CA 94521-1704 | 2020-04-22 |
| 1922301969 | Country Home Healthcare LLC | Custodial Care Facility | 2908 Country Home Rd, Concord, NC 28025-7628 | 2010-12-14 |
| 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 | ||||
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| 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.