OrganizationEaster Seals Ucp North Carolina & Virginia, Inc.Community/Behavioral HealthAgenciesPractice Address4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609-6879(919) 861-1600(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 ID1871659706Provider TypeOrganizationFull NameEaster Seals Ucp North Carolina & Virginia, Inc.SubpartNoEnumeration Date12/28/2006Last Updated11/20/2015Contact InformationPractice LocationPractice Address4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609-6879Phone(919) 861-1600Fax(919) 861-1637Mailing LocationMailing Address5171 Glenwood Ave, Suite 400, Raleigh, NC 27612-3266Phone(919) 783-8898Fax(919) 782-5486Authorized OfficialNameEdwards, Richard P (Contract Administrator)Phone(919) 783-8898Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8300486HDescriptionMedicaidIssuerUnlistedNorth CarolinaID8300486FDescriptionMedicaidIssuerUnlistedNorth CarolinaID8300486BDescriptionMedicaidIssuerUnlistedNorth CarolinaID018KJDescriptionOtherIssuerBCBS GROUPNorth CarolinaID8300486DescriptionMedicaidIssuerUnlistedNorth CarolinaID8300486GDescriptionMedicaidIssuerUnlistedNorth CarolinaID8300486IDescriptionMedicaidIssuerUnlistedNorth CarolinaID8300486ADescriptionMedicaidIssuerUnlistedNorth Carolina