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Easter Seals Ucp of North Carolina & Virginia, Inc.

Organization Active NPI Assisted Living Facility (Mental Illness) · Wilson, NC

NPI 1790090488 · NPPES record last updated Aug 18, 2010

Key facts

NPI
1790090488
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
Legal business name
EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.
Practice address
811 Park Ave W
Wilson, NC 27893-3678
Phone
(252) 291-3243
Fax
(252) 291-3243
NPI assigned
Aug 18, 2010
Organization subpart
No

Authorized official

Name
Richard Edwards
Title
VP
Phone
(919) 782-8898

Corporate family (same tax ID) 24

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Easter Seals Ucp North Carolina Virginia Inc (224 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Yes

Addresses

Primary practice location

811 Park Ave W
Wilson, NC 27893-3678

Mailing address

5171 Glenwood Ave
Suite 400
Raleigh, NC 27612-3266
Phone (919) 783-8898

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2010.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1790090488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 GLENWOOD AVE",
            "address_2": "SUITE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123266",
            "telephone_number": "919-783-8898",
            "fax_number": "919-782-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PARK AVE W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933678",
            "telephone_number": "252-291-3243",
            "fax_number": "252-291-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP OF NORTH CAROLINA & VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "919-782-8898"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

All providers in Wilson, NC · Assisted Living Facility (Mental Illness) in North Carolina

Sources for this page

Verify at the official NPI Registry.