Easter Seals Ucp North Carolina & Virginia, Inc.

Community/Behavioral Health

Agencies

4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609

PECOS Enrollment

Based on the most recent information from CMS, provider Easter Seals Ucp North Carolina & Virginia, Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013079961
Provider Type
Organization
Full Name
Easter Seals Ucp North Carolina & Virginia, Inc.

Subpart
No
Enumeration Date
12/15/2006
Last Updated
6/4/2018

Contact Information

Practice Location

4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609

(919) 784-9182

Unlisted Fax

Mailing Location

5171 Glenwood Ave, Suite 211, Raleigh, NC 27612-3266

(919) 783-8898

(919) 782-5486

Authorized Official

Key-Allred, Nasheba (Contract Administrator)

(919) 783-8898

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 251B00000X	Description Case Management Agencies	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 018KJ	Description Other	Issuer NC BCBS GROUP HEALTHCHOIC North Carolina
ID 8300672B	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672F	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672C	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672D	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672I	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672A	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672G	Description Medicaid	Issuer Unlisted North Carolina
ID 8300672H	Description Medicaid	Issuer Unlisted North Carolina

Easter Seals Ucp North Carolina & Virginia, Inc.

PECOS Enrollment

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