Education Service for Early Intervention

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EDUCATION SERVICE FOR EARLY INTERVENTION

Doing business as

Education Service for Early Intervention

Practice address

5200 Rockwood Rd
Charlotte, NC 28216-2700

Phone

(704) 395-0352

NPI assigned

Jan 12, 2024

Last updated

Jul 22, 2024By 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

Mrs. Sakia Jackson Sellars, M.ED.

Title

Owner/Director

Phone

(704) 219-6512

Specialties & licenses 2

Addresses

Other names 1

• Education Service for Early Intervention Doing business as

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1821869470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 ROCKWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162700",
            "telephone_number": "704-395-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 ROCKWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162700",
            "telephone_number": "704-395-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATION SERVICE FOR EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SELLARS",
        "authorized_official_first_name": "SAKIA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "704-219-6512",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Education Service for Early Intervention",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Education Service for Early Intervention",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation-North Carolina (Community Alternatives North Carolina)
• Educare Communtiy Living Corporation - North Carolina
• Subhash Venkata Satya Edupuganti, MD
• Tara Reisha Edwards-Booker, D.O
• Andrew Paul Edwards, CRNA
• Anna Edwards, PT, DPT
• Ashley Leann Edwards, CRNA

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, 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 Jul 22, 2024; 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.