EASTER SEALS UCP NORTH CAROLINA NPI 1114063161

NPI Information

  • NPI: 1114063161
  • Provider Name: EASTER SEALS UCP NORTH CAROLINA
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 2315 MYRON DR
    RALEIGH, NC
    ZIP 27607
  • Phone: (704) 566-6040

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NPI Details

EASTER SEALS UCP NORTH CAROLINA is an adult care home custodial care facility in Raleigh, 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 NORTH CAROLINA NPI is 1114063161. The provider is registered as an organization entity type.

The provider's business location address is:

2315 MYRON DR
RALEIGH, NC
ZIP 27607-344
Phone: (704) 566-6040
Fax: (704) 971-2537

The provider's authorized official is Susan Tweed .
The authorized official title is Controller and has the following contact phone number (704) 566-6040.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 5/26/2009.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804448MEDICAIDNORTH CAROLINA

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: 3/30/2025

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