Provider Demographics
NPI:1396811618
Name:THE ARC OF NORTH CAROLINA
Entity type:Organization
Organization Name:THE ARC OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:POTEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-782-4632
Mailing Address - Street 1:353 E SIX FORKS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7887
Mailing Address - Country:US
Mailing Address - Phone:919-782-4632
Mailing Address - Fax:919-782-4634
Practice Address - Street 1:353 E. SIX FORKS ROAD SUITE 300
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7887
Practice Address - Country:US
Practice Address - Phone:919-782-4632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARC OF NORTH CAROLINA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301052Medicaid
NC8300414Medicaid
NC8300509Medicaid
NC8300512Medicaid
NC8300548Medicaid
NC8300703Medicaid
NC8300704Medicaid
NC8300326Medicaid
NC8300894Medicaid
NC8300910Medicaid
NC3408824Medicaid
NC8301049Medicaid
NC8300645Medicaid
NC8300883Medicaid
NC8300976Medicaid
NC8300331Medicaid
NC8300510Medicaid
NC8300580Medicaid
NC8300617Medicaid