SUCOREE ENTERPRISE, PLLC


Address: 609 Richlands Hwy Ste 8, Jacksonville, NC 28540-3606
Phone: 9102651894

SUCOREE ENTERPRISE, PLLC (NPI# 1073740338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073740338
Entity Type Organization
Organization Name SUCOREE ENTERPRISE, PLLC
Other Organization Name SUCOREE
Practice Address 609 Richlands Hwy Ste 8
Jacksonville
NC 28540-3606
Practice Telephone 9102651894
Mailing Telephone 9102651894
Enumeration Date 2009-06-14
Last Update Date 2012-07-25
Authorized Official Name SUZETTE GENETHA COTTER (OWNER)
Authorized Official Telephone 9102651894
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 302F00000X Exclusive Provider Organization Managed Care Organizations
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health 1676 NC Agencies

Other Provider/Organization Names

Other Name Type Code
Sucoree Doing Business As Name - Organization

Office Location

Street Address 609 RICHLANDS HWY STE 8
City JACKSONVILLE
State NC
Zip Code 28540-3606

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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1679056857 Inspire To Rise Inc. Community/Behavioral Health 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 2018-09-13
1558863787 Positive Development, LLC Community/Behavioral Health 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 2018-03-04
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1871007062 National Youth Advocate Program, Inc Community/Behavioral Health 2200 Rosselle St, Jacksonville, FL 32204-3126 2017-11-27
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Competitor

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City JACKSONVILLE
Zip Code 28540

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Dataset Information

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.

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