SOUTHEASTERN UNITED CARE,LLC (NPI# 1053552315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053552315 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN UNITED CARE,LLC |
| Practice Address |
138 Memory Plaza Whiteville NC 28472-2640 |
| Mailing Address |
Po Box 159 Pembroke NC 28372-0159 |
| Practice Telephone | 9105219557 |
| Practice Fax Number | 9105210077 |
| Mailing Telephone | 9105219557 |
| Mailing Fax Number | 9105210077 |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | DEMETRUS LOCKLEAR (OWNER) |
| Authorized Official Telephone | 9105219557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006399 | 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 |
| 1538309513 | Southeastern United Care,llc | Community/Behavioral Health | 213 W. Cronly St., Laurinburg, NC 28352-3637 | 2009-03-03 |
| 1033359567 | Southeastern United Care,llc | Home Health | 30 Drake's Branch Drive, Pembroke, NC 28372-7325 | 2009-02-24 |
| 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 |
138 MEMORY PLAZA |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700119088 | Southeastern United Care | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-09-17 |
| 1285875120 | Southeastern United Care, LLC | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790803 | Monarch | Community/Behavioral Health | 1019 S Madison St, Whiteville, NC 28472-4503 | 2017-03-06 |
| 1184089658 | Pathways Counseling Services Pllc | Community/Behavioral Health | 802 S Franklin St, Whiteville, NC 28472-4708 | 2015-12-28 |
| 1306274519 | Coastal Community Management LLC | Community/Behavioral Health | 725 Wedgewood Rd, Whiteville, NC 28472-2928 | 2013-10-24 |
| 1770921025 | Monarch | Community/Behavioral Health | 626 S Madison St, Whiteville, NC 28472-4130 | 2013-06-10 |
| 1144587866 | Ace Enrichment Services, Inc. | Community/Behavioral Health | 204 W Virgil St, Whiteville, NC 28472-4018 | 2012-04-19 |
| 1679880520 | Wilmar Counseling, Pllc | Community/Behavioral Health | 158 Country Club Rd, Whiteville, NC 28472-9131 | 2010-09-13 |
| 1154645554 | Community Innovations, Inc. | Community/Behavioral Health | 805 Wilson St, Whiteville, NC 28472-4713 | 2010-03-15 |
| 1164756623 | Lifechangingbehavioralhealthservices | Community/Behavioral Health | 18 Whiteville Mini Mall, Whiteville, NC 28472-2105 | 2009-09-30 |
| 1689800484 | Superb Care, LLC | Community/Behavioral Health | 805 N Franklin St Ste 110, Whiteville, NC 28472-2734 | 2009-06-08 |
| 1134309529 | Southeastern United Care LLC | Community/Behavioral Health | 138 Memory Plz, Whiteville, NC 28472-2640 | 2007-11-14 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on SOUTHEASTERN UNITED CARE,LLC.
| 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.