OrganizationEaster Seals Ucp North Carolina & Virginia, Inc.Community/Behavioral HealthAgenciesPractice Address5000 Falls Of Neuse Rd Ste 300, Raleigh, NC 27609-5480(919) 865-8710(919) 783-8898PECOS EnrollmentBased on the most recent information from CMS, provider Easter Seals Ucp North Carolina & Virginia, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1306167713Provider TypeOrganizationFull NameEaster Seals Ucp North Carolina & Virginia, Inc.SubpartNoEnumeration Date6/21/2010Last Updated10/17/2024Contact InformationPractice LocationPractice Address5000 Falls Of Neuse Rd Ste 300, Raleigh, NC 27609-5480Phone(919) 865-8710Fax(919) 256-0772Mailing LocationMailing Address5171 Glenwood Ave, Suite 211, Raleigh, NC 27612-3266Phone(919) 783-8898Fax(919) 782-5486Authorized OfficialNameBeavers, Brett (Credentialing Manager)Phone(919) 210-7661Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode251B00000XDescriptionCase ManagementAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8300709DescriptionMedicaidIssuerUnlistedNorth CarolinaID8301523DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300672DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300673DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300488DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300746DescriptionMedicaidIssuerUnlistedNorth CarolinaID8301327DescriptionMedicaidIssuerUnlistedNorth CarolinaID8301522DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300675DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300676DescriptionMedicaidIssuerUnlistedNorth Carolina