NPIMap

Organization Active NPI

Easter Seals Ucp North Carolina

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1417093428
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
EASTER SEALS UCP NORTH CAROLINA
Practice address
2315 Myron Dr
Raleigh, NC 27607-3344
Phone
(704) 566-6040
Fax
(704) 971-2537
NPI assigned
Jan 29, 2007
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Mrs. Susan Tweed
Title
Controller
Phone
(704) 566-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2315 Myron Dr
Raleigh, NC 27607-3344

Mailing address

5700 Executive Center Dr
Suite 110
Charlotte, NC 28212-8858
Phone (704) 566-6040

Other identifiers 1

IdentifierTypeStateIssuer
7801332MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Ucp North Carolina Virginia Inc224 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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1417093428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 EXECUTIVE CENTER DR",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128858",
            "telephone_number": "704-566-6040",
            "fax_number": "704-971-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073344",
            "telephone_number": "704-566-6040",
            "fax_number": "704-971-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "TWEED",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "704-566-6040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801332",
            "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 May 20, 2009; 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.