EASTER SEALS UCP NORTH CAROLINA & VIRGINIA INC. NPI 1477646081

NPI Information

NPI: 1477646081
Provider Name: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 4000 WAKE FOREST ROAD
SUITE 200
RALEIGH, NC
ZIP 27609
Phone: (919) 861-1600

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NPI Details

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. is a community behavioral health in Raleigh, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. NPI is 1477646081. The provider is registered as an organization entity type.

The provider's business location address is:

4000 WAKE FOREST ROAD
SUITE 200
RALEIGH, NC
ZIP 27609
Phone: (919) 861-1600
Fax: (919) 861-1637

The provider's authorized official is Jelore Little .
The authorized official title is Director, Contracts & Credentialing and has the following contact phone number (336) 545-6338.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/4/2018.

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	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
2	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
3	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
4	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
5	251B00000X	Case Management		No
6	251C00000X	Day Training, Developmentally Disabled Services		No
7	251F00000X	Home Infusion		No
8	261QD1600X	Clinic/Center	Developmental Disabilities	No
9	261QH0700X	Clinic/Center	Hearing and Speech	No
10	261QP2000X	Clinic/Center	Physical Therapy	No
11	261QX0100X	Clinic/Center	Occupational Medicine	No
12	251S00000X	Community/Behavioral Health		Yes
13	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No

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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