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EASTER SEALS UCP NC & VA INC NPI 1942515572


NPI Information

NPI: 1942515572
Provider Name: EASTER SEALS UCP NC & VA, INC

Doing Business As: EASTERSEALS UCP

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
124 RIDGE RUN
MARSHVILLE, NC
ZIP 28103
Phone: (704) 624-3132
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EASTER SEALS UCP NC & VA, INC is an adult care home custodial care facility in Marshville, NC. The provider is 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. EASTER SEALS UCP NC & VA, INC NPI is 1942515572. The provider is registered as an organization entity type.
The provider Is Doing Business As Easterseals Ucp.

The provider's business location address is:

124 RIDGE RUN
MARSHVILLE, NC
ZIP 28103-363
Phone: (704) 624-3132
Fax: (704) 624-6939

The provider's authorized official is Nasheba Key-allred .
The authorized official title is Credentialing Specialist and has the following contact phone number (919) 865-8632.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
3311Z00000XCustodial Care FacilityNo
4311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.