NPIMap

Organization Active NPI

Easter Seals Ucp NC & VA, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1063566776
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTER SEALS UCP NC & VA, INC.
Practice address
314 Chaponoke Road
Raleigh, NC 27603-3400
Phone
(919) 773-2020
Fax
(919) 773-1044
NPI assigned
Jan 22, 2007
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanita Cox
Title
Enrollment Coordinator
Phone
(919) 865-8780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

314 Chaponoke Road
Raleigh, NC 27603-3400

Mailing address

5171 Glenwood Avenue
Ste 400
Raleigh, NC 27612
Phone (919) 783-8898

Other identifiers 2

IdentifierTypeStateIssuer
8300071KOtherNCECHOES CBRS NON MEDICAID
8300071KMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Ucp North Carolina224 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1063566776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 GLENWOOD AVENUE",
            "address_2": "STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "919-783-8898",
            "fax_number": "919-865-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHAPONOKE ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033400",
            "telephone_number": "919-773-2020",
            "fax_number": "919-773-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP NC & VA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "TANITA",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "919-865-8780"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECHOES CBRS NON MEDICAID",
            "identifier": "8300071K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300071K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.