EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
NPI 1811288574
Assisted Living Facility - Assisted Living, Mental Illness in Wilmington, NC

Active since April 28, 2011
4600 MOCKINGBIRD LN, WILMINGTON, NC 28409(910) 313-6653 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2018, Dec 21, 2015 (2 updates tracked since 2015).

About Easter Seals Ucp North Carolina & Virginia, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI 1811288574) is a healthcare organization registered as an assisted living, mental illness in Wilmington, North Carolina and active in the NPI registry since April 2011. The organization maintains a secondary practice location in Wilmington and lists Nasheba Key-allred, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1811288574
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Location Address4600 MOCKINGBIRD LNWilmington, NC 28409-5617
Mailing Address5171 Glenwood Ave, Suite 400Raleigh, NC 27612-3266 · (919) 783-8898
Organization SubpartNo
Authorized OfficialNasheba Key-allredCredentialing Specialist · (919) 865-8632
Enumeration DateApril 28, 2011
Last NPPES UpdateSeptember 24, 20182 updates tracked since enumeration
NPI 1811288574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in NC · MHL-065-223
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
4600 MOCKINGBIRD LN, Wilmington, NC 28409

Secondary Practice Location 1

Location 14601 Spring View DrWilmington, NC 28405-2427 · Phone (910) 313-6653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easter Seals Ucp North Carolina & Virginia, Inc.'s NPI number?

The NPI number for Easter Seals Ucp North Carolina & Virginia, Inc. is 1811288574. It was assigned to this organization in the NPPES registry on April 28, 2011.

Where is Easter Seals Ucp North Carolina & Virginia, Inc. located?

Easter Seals Ucp North Carolina & Virginia, Inc. is located at 4600 Mockingbird Ln, Wilmington, NC 28409. The listed phone number is (910) 313-6653.

What is Easter Seals Ucp North Carolina & Virginia, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Easter Seals Ucp North Carolina & Virginia, Inc. was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.