EASTER SEALS UCP (NPI# 1992841985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992841985 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP |
| Practice Address |
2315 Myron Dr Raleigh NC 27607-3344 |
| Mailing Address |
5700 Executive Center Dr Suite 110 Charlotte NC 28212-8858 |
| Practice Telephone | 7045666040 |
| Practice Fax Number | 7049712537 |
| Mailing Telephone | 7045666040 |
| Mailing Fax Number | 7049712537 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUSAN TWEED (CONTROLLER) |
| Authorized Official Telephone | 7045666040 |
| 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 | 7805397 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1558786046 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl., Suite 100, Raleigh, NC 27607 | 2014-02-20 |
| 1457745697 | Easter Seals Ucp | Counselor | 4038 Capital Dr, Rocky Mount, NC 27804-3123 | 2015-03-25 |
| 1891135810 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl, 100, Raleigh, NC 27607 | 2013-07-05 |
| 1225396013 | Easter Seals Ucp | Community/Behavioral Health | 2260 S Church St, Suite 303, Burlington, NC 27215-5390 | 2012-04-30 |
| 1851547129 | Easter Seals Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2008-08-18 |
| 1023154036 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-29 |
| 1679627392 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-22 |
| 1144374869 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Easter Seals UCP North Carolina & Virginia Inc. | 5171 Glenwood Ave Ste 211, Raleigh, North Carolina 27612-3266 |
| Virginia Business Entities | Easter Seals UCP Virginia Inc. | 5171 Glenwood Avenue, Ste 400, Raleigh, North Carolina 27612-3266 |
| Street Address |
2315 MYRON DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104930452 | Cindy Szymanski Whilden | Occupational Therapist | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2006-08-17 |
| 1326443219 | Gregory Pollock | Counselor | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2014-11-04 |
| 1821494766 | Rachel Sunukjian | Counselor | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2014-11-04 |
| 1538459664 | Lori Rushing Cochran | Social Worker | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2011-04-11 |
| 1194039107 | Brook Marie Powers | Counselor | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2010-08-02 |
| 1790910016 | Margaret Hines Hill | Counselor | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2009-05-17 |
| 1164601431 | Darcee Lynn Ruble | Counselor | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-11-02 |
| 1679773907 | Easterseals Ucp North Carolina | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-07-24 |
| 1245375427 | Susan Michele Powell | Occupational Therapist | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-02-21 |
| 1982742326 | Easter Seals Ucp North Carolina | Counselor | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1548750516 | Alpha Residential Services LLC | Custodial Care Facility | 5842 Faringdon Pl Ste 2, Raleigh, NC 27609-3930 | 2018-05-15 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1437501863 | Matrone Primary Care | Custodial Care Facility | 2412 Windsor Trl, Raleigh, NC 27615-1200 | 2016-07-09 |
| 1861863805 | Second Touch LLC | Custodial Care Facility | 2528 1/2 Poole Rd, Raleigh, NC 27610-2820 | 2015-10-16 |
| 1669862074 | Novelty Healthcare Services Inc | Custodial Care Facility | 4004 Beaufain St, Raleigh, NC 27604-5072 | 2015-01-24 |
| 1184021131 | Esliker Samuels Inc. | Custodial Care Facility | 7305 Perry Creek Rd, Raleigh, NC 27616-6439 | 2014-11-19 |
| 1992111587 | Jace Healthcare Services Inc | Custodial Care Facility | 1921 Waters Dr, Raleigh, NC 27610-4836 | 2014-07-03 |
| 1801225958 | Pioneer Healthcare Inc. | Custodial Care Facility | 3417 Pritchard Ct, Raleigh, NC 27616-8972 | 2013-11-08 |
| 1265868228 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 3321 Princeton Mill Pkwy, Raleigh, NC 27612-5518 | 2013-09-23 |
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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.