SOUTHEASTERN UNITED CARE, LLC (NPI# 1376784215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376784215 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN UNITED CARE, LLC |
| Practice Address |
30 Drakes Branch Dr. 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 | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| 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 | 5950144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780825042 | Southeastern United Care, LLC | Community/Behavioral Health | 306 Beaman St., Clinton, NC 28328-2908 | 2009-03-17 |
| 1235323114 | Southeastern United Care, LLC | Home Health | 1219 Rockingham Rd Ste 1, Rockingham, NC 28379-4925 | 2007-09-04 |
| 1285875120 | Southeastern United Care, LLC | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-03-23 |
| 1093956930 | Southeastern United Care, LLC | Community/Behavioral Health | 306 Beaman St., Clinton, NC 28328-2908 | 2009-03-23 |
| Street Address |
30 DRAKES BRANCH DR. |
| 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 | 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 |
|---|---|---|---|---|
| 1528516861 | Rock Island Special Education & Behavior Services, LLC | Community/Behavioral Health | 34 Anthony Dr, Pembroke, MA 02359-2129 | 2016-09-15 |
| 1962784397 | Foundation for Families, LLC | Community/Behavioral Health | 30 Three Hunts Dr, Suite B, Pembroke, NC 28372-7316 | 2011-09-12 |
| 1013241751 | Crossroads Associates | Community/Behavioral Health | 406 Blaine St, Pembroke, NC 28372-9640 | 2009-09-29 |
| 1982834073 | Chaparral Youth Services | Community/Behavioral Health | 56 Three Hunts Dr, Pembroke, NC 28372-8998 | 2009-07-23 |
| 1306070644 | Ms. Shelvie's Professional Center | Community/Behavioral Health | 518 Union Chapel Rd, Pembroke, NC 28372-9532 | 2009-05-14 |
| 1487894408 | Comfort Care Services, LLC | Community/Behavioral Health | 112 East Third Street, Pembroke, NC 28372-8684 | 2009-03-03 |
| 1316191448 | Crossroads Associates | Community/Behavioral Health | 306-a Normal St, Pembroke, NC 28372-1148 | 2008-11-17 |
| 1942468871 | Positive Progress Services | Community/Behavioral Health | 305 East Third Street, Ste 5, Pembroke, NC 28737-8372 | 2008-05-28 |
| 1669655353 | Native American Interfaith Ministries | Community/Behavioral Health | 450 Prospect Road, Pembroke, NC 28372 | 2007-12-17 |
| 1780883959 | Palmer Prevention, Inc. | Community/Behavioral Health | 208 N. Main St., Pembroke, NC 28372-3959 | 2007-07-17 |
| 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.