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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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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
3385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
4385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
5251B00000XCase ManagementNo
6251C00000XDay Training, Developmentally Disabled ServicesNo
7251F00000XHome InfusionNo
8261QD1600XClinic/CenterDevelopmental DisabilitiesNo
9261QH0700XClinic/CenterHearing and SpeechNo
10261QP2000XClinic/CenterPhysical TherapyNo
11261QX0100XClinic/CenterOccupational MedicineNo
12251S00000XCommunity/Behavioral HealthYes
13320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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: 4/28/2024

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.