Eastern Carolina Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EASTERN CAROLINA CASE MANAGEMENT

Practice address

4620 Cedar Avenue
Suite 118
Wilmington, NC 28403-4423

Phone

(910) 262-7107

NPI assigned

Oct 5, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTERN CAROLINA CASE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Wendy Rene KaczynskiNPI 1215117072

Title

Director

Phone

(910) 262-7107

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

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

Part of

Eastern Carolina Case Management LLC

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, LLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1396928594
  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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1760578124",
    "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 AVENUE",
            "address_2": "SUITE 118",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034423",
            "telephone_number": "910-262-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA CASE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN CAROLINA CASE MANAGEMENT, LLC",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-18",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301324",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301324H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301324G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301324B",
            "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.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Eastern Carolina Case Management, LLC
• Eastern Psychiatric Associates, PA (B. Steven Bentsen, MD)
• Eastern Therapy Solutions, PLLC
• Rachel Easton, LCSW
• Eastpoint Prosthetics & Orthotics, Inc.

• Case Management Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.