Eastern Carolina Case Management, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EASTERN CAROLINA CASE MANAGEMENT, LLC

Practice address

4620 Cedar Ave
Suite 118
Wilmington, NC 28403-4424

Phone

(910) 790-5150

Fax

(910) 790-9011

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Rene KaczynskiNPI 1215117072

Title

Director

Phone

(910) 262-7107

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eastern Carolina Case Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Carolina Case Management

  • Case Management Agency
  • Winterville, NC
  • NPI 1336235795
  NPD tax ID
• Eastern Carolina Case Management

  • Case Management Agency
  • Wilmington, NC
  • NPI 1760578124
  NPD tax ID

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.

• Wendy Rene' Kaczynski

  • Case Manager/Care Coordinator
  • Wilmington, NC
  • NPI 1215117072
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1396928594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 MAXWELL PL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092966",
            "telephone_number": "910-793-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 CEDAR AVE",
            "address_2": "SUITE 118",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034424",
            "telephone_number": "910-790-5150",
            "fax_number": "910-790-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "KACZYNSKI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-262-7107"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301324G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Eastern Carolina Case Management
• Eastern Psychiatric Associates, PA (B. Steven Bentsen, MD)
• Eastern Therapy Solutions, PLLC
• Rachel Easton, LCSW
• Eastpoint Prosthetics & Orthotics, Inc.
• Elizabeth Renee Eaton, PMHNP-BC

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.