Easter Seals Ucp North Carolina & Virginia, Inc.

Community/Behavioral Health

Agencies

4000 Wake Forest Road, Suite 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
1477646081
Provider Type
Organization
Full Name
Easter Seals Ucp North Carolina & Virginia, Inc.

Subpart
No
Enumeration Date
10/2/2006
Last Updated
10/4/2018

Contact Information

Practice Location

4000 Wake Forest Road, Suite 200, Raleigh, NC 27609

(919) 861-1600

(919) 861-1637

Mailing Location

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

(919) 783-8898

(919) 782-5486

Authorized Official

Little, Jelore (Director, Contracts & Credentialing)

(336) 545-6338

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 251B00000X	Description Case Management Agencies	License Unlisted Issuer
Code 251C00000X	Description Day Training, Developmentally Disabled Services Agencies	License Unlisted Issuer
Code 251F00000X	Description Home Infusion Agencies	License Unlisted Issuer
Code 261QD1600X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QH0700X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP2000X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QX0100X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 320900000X	Description Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities	License Unlisted Issuer
Code 322D00000X	Description Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities	License Unlisted Issuer
Code 385HR2055X	Description Respite Care Respite Care Facility	License Unlisted Issuer
Code 385HR2060X	Description Respite Care Respite Care Facility	License Unlisted Issuer
Code 385HR2065X	Description Respite Care Respite Care Facility	License Unlisted Issuer

Easter Seals Ucp North Carolina & Virginia, Inc.

PECOS Enrollment

Profile Details

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