NPIMap

Organization Active NPI

Easterseals Ucp of NC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1831244524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-036-068 Issued in NC
Legal business name
EASTERSEALS UCP OF NC
Practice address
2315 Myron Dr
Raleigh, NC 27607-3344
Phone
(800) 662-7119
Fax
(919) 782-5486
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Saunders
Title
Ar Specialist
Phone
(704) 566-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-036-068 NC Primary

Addresses

Primary practice location

2315 Myron Dr
Raleigh, NC 27607-3344

Mailing address

5700 Executive Center Dr Ste 110
Charlotte, NC 28212-8833
Phone (704) 566-6040

Other identifiers 1

IdentifierTypeStateIssuer
150662OtherNCCONTRACT ID FOR PATHWAYS

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831244524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 EXECUTIVE CENTER DR STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128833",
            "telephone_number": "704-566-6040",
            "fax_number": "704-566-6050"
        },
        {
            "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": "800-662-7119",
            "fax_number": "919-782-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERSEALS UCP OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "704-566-6040"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-036-068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT ID FOR PATHWAYS",
            "identifier": "150662",
            "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 Aug 22, 2020; 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.