NPIMap

Organization Active NPI

Easter Seals Ucp North Carolina

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1962556696
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTER SEALS UCP NORTH CAROLINA
Practice address
3405 W Wendover Ave Ste H
Greensboro, NC 27407-1525
Phone
(336) 272-9602
NPI assigned
Jan 22, 2007
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Mrs. Nasheba Yvette Key-Allred
Title
Credentialing Specialist
Phone
(919) 865-8632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3405 W Wendover Ave Ste H
Greensboro, NC 27407-1525

Mailing address

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

Other practice location 1

2315 Myron Dr
Raleigh, NC 27607-3344
Phone (704) 566-6040 ext. 238

Other practice location 2

3405 W Wendover Ave Ste C
Greensboro, NC 27407-1525
Phone (336) 545-6338

Other practice location 3

2431 Winding Woods Ln
Asheboro, NC 27205-2238
Phone (919) 783-8898

Other practice location 4

202 Westbury Dr
Asheboro, NC 27205-8974
Phone (919) 783-8898

Other practice location 5

5171 Glenwood Ave Ste 211
Raleigh, NC 27612
Phone (919) 783-8898

Other identifiers 4

IdentifierTypeStateIssuer
8301056GMedicaidNC
8301056BMedicaidNC
8301056HMedicaidNC
8301056IMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contracts@eastersealsucp.com

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Ucp North Carolina224 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

3405 W Wendover Ave
Ste H
Greensboro, NC 27407
Phone (336) 272-9602

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1962556696",
    "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": "3405 W WENDOVER AVE STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071525",
            "telephone_number": "336-272-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Myron Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276073344",
            "country_code": "US",
            "telephone_number": "704-566-6040 x238",
            "fax_number": "704-971-2537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3405 W Wendover Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071525",
            "country_code": "US",
            "telephone_number": "336-545-6338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 Winding Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272052238",
            "country_code": "US",
            "telephone_number": "919-783-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Westbury Dr",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272058974",
            "country_code": "US",
            "telephone_number": "919-783-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5171 Glenwood Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27612",
            "country_code": "US",
            "telephone_number": "919-783-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTER SEALS UCP NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "KEY-ALLRED",
        "authorized_official_first_name": "NASHEBA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "919-865-8632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301056G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301056B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301056H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301056I",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contracts@eastersealsucp.com",
            "affiliation": "N",
            "address_1": "3405 W Wendover Ave Ste H",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274071525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.