SOUTHEASTERN UNITED CARE,LLC (NPI# 1033359567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033359567 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN UNITED CARE,LLC |
| Practice Address |
30 Drake's Branch Drive Pembroke NC 28372-7325 |
| Mailing Address |
P.o. Box 159 Pembroke NC 28372-0159 |
| Practice Telephone | 9105219557 |
| Practice Fax Number | 9105210077 |
| Mailing Telephone | 9105219557 |
| Mailing Fax Number | 9105210077 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Authorized Official Name | MR. DEMETRUS LOCKLEAR (OWNER) |
| Authorized Official Telephone | 9105219557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC2923 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408256 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760619738 | Southeastern United Care,llc | Community/Behavioral Health | 703 N Broad St, Brevard, NC 28712-3101 | 2009-06-17 |
| 1053552315 | Southeastern United Care,llc | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-03-17 |
| 1538309513 | Southeastern United Care,llc | Community/Behavioral Health | 213 W. Cronly St., Laurinburg, NC 28352-3637 | 2009-03-03 |
| 1871728105 | Southeastern United Care,llc | Community/Behavioral Health | 356 Biltmore Ave, Asheville, NC 28801-4504 | 2009-05-15 |
| 1043451305 | Southeastern United Care,llc | Community/Behavioral Health | 30 Drakes Branch Drive, Pembroke, NC 28372-7325 | 2009-03-17 |
| 1447497243 | Southeastern United Care,llc | Home Health | 30 Drakes Branch Drive, Pembroke, NC 28372-7325 | 2009-01-15 |
| Street Address |
30 DRAKE'S BRANCH DRIVE |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-7325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780052142 | Eye Heart You Home Health, LLC | Home Health | 719 Old Main Rd, Pembroke, NC 28372-8753 | 2015-09-02 |
| 1881098093 | Chaparral Youth Services II | Home Health | 68-b Three Hunts Drive, Pembroke, NC 28372 | 2014-10-17 |
| 1497081038 | Circle of Life | Home Health | 4729 Union Chapel Rd, Pembroke, NC 28372-8842 | 2009-11-01 |
| 1104063981 | Chaparral Youth Services II | Home Health | 68 Three Hunts Dr Ste B, Pembroke, NC 28372-7319 | 2009-01-15 |
| 1558480525 | Healthkeeperz, Inc. | Home Health | 509 W 3rd St, Pembroke, NC 28372-9546 | 2007-03-28 |
| 1598815045 | Heavenly Touch, LLC | Home Health | 636 Prospect Rd., Pembroke, NC 28372-0068 | 2007-01-10 |
| 1700943628 | Cynthia Sueann Dial | Home Health | 113 Vance Street, Pembroke, NC 28372-0511 | 2007-01-02 |
| 1245220870 | Healthkeeperz, Inc. | Home Health | 305 Normal Street, Pembroke, NC 28372-9545 | 2005-10-25 |
| 1922093947 | Southeastern United Care LLC | Home Health | 30 Drakes Branch Drive, Pembroke, NC 28372-7325 | 2005-09-15 |
| 1265981310 | Chaparral Youth Services II | Home Health | 68 Three Hunts Dr Ste B, Pembroke, NC 28372-7319 | 2016-09-30 |
| Find all providers in PEMBROKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.