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 11 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