SOUTHEASTERN UNITED CARE LLC (NPI# 1457689820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457689820 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN UNITED CARE LLC |
| Practice Address |
4902 Main St Unit Bc Shallotte NC 28459-1585 |
| Mailing Address |
Po Box 1585 Shallotte NC 28459-1585 |
| Practice Telephone | 9107555222 |
| Practice Fax Number | 9107555255 |
| Mailing Telephone | 9107555222 |
| Mailing Fax Number | 9107555255 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | MS. STACY LOCKLEAR (DIRECTOR) |
| Authorized Official Telephone | 9107555222 |
| 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 | 8302756B | 05 | |
| NC | 8302756 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134309529 | Southeastern United Care LLC | Community/Behavioral Health | 138 Memory Plz, Whiteville, NC 28472-2640 | 2007-11-14 |
| 1922093947 | Southeastern United Care LLC | Home Health | 30 Drakes Branch Drive, Pembroke, NC 28372-7325 | 2005-09-15 |
| 1467693309 | Southeastern United Care LLC | Community/Behavioral Health | 213 W. Cronly St., Laurinburg, NC 28352-3637 | 2009-03-23 |
| 1023292778 | Southeastern United Care LLC | Home Health | 213 W Cronly St, Laurinburg, NC 28352-3637 | 2007-12-18 |
| 1225218548 | Southeastern United Care LLC | Community/Behavioral Health | 306 Beaman St, Clinton, NC 28328-2908 | 2007-11-05 |
| 1255511473 | Southeastern United Care LLC | Community/Behavioral Health | 215 Racine Dr, Suite 204, Wilmington, NC 28403-8840 | 2007-11-05 |
| Street Address |
4902 MAIN ST UNIT BC |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28459-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396807384 | Ashly Valas | Speech-Language Pathologist | 4902 Main St, Shallotte, NC 28470-4502 | 2006-12-15 |
| 1477942837 | Caroline Workman | Speech-Language Pathologist | 4902 Main St, Suite D, Shallotte, NC 28470 | 2015-01-22 |
| 1639519275 | Joan Hanlon Morris | Speech-Language Pathologist | 4902 Main St, Suite D, Shallotte, NC 28470-4502 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376873299 | Coastal Carolina Home Care, LLC | Home Health | 117 Holden Beach Rd., Suite 101, Shallotte, NC 28459 | 2009-12-29 |
| 1760505903 | Frederick Allen Williams | Dentist | 343 Old Whiteville Rd, Shallotte, NC 28459 | 2007-04-10 |
| 1659461119 | For Kids Only Child Development Center | Community/Behavioral Health | 344 Mulberry St, Shallotte, NC 28459 | 2006-10-13 |
| 1568552024 | Brunswick Academy of Total Learning | Community/Behavioral Health | 344 Mulberry Street, Shallotte, NC 28459 | 2006-10-13 |
| 1073578027 | Sheila K Drennen | Social Worker | 624 Village Rd., Suite 1a, Shallote, NC 28459 | 2006-04-20 |
| 1104968072 | Th&s LLC | Durable Medical Equipment & Medical Supplies | 4750 Main Street, Highway 17, Shalotte, NC 28459 | 2007-02-13 |
| 1356440580 | Edc Drug Stores | Durable Medical Equipment & Medical Supplies | 4600- 2 Main Street, Shallotte, NC 28459-0000 | 2006-09-22 |
| 1477594844 | Tiffany Le | Optometrist | 4540 Main St, Shallotte, NC 28459-3079 | 2006-06-09 |
| 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 |
|---|---|---|---|---|
| 1760853410 | Inside Out Counseling Services, LLC | Community/Behavioral Health | 632 Village Rd Sw Ste 2, Shallotte, NC 28470-3434 | 2015-10-07 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1659461119 | For Kids Only Child Development Center | Community/Behavioral Health | 344 Mulberry St, Shallotte, NC 28459 | 2006-10-13 |
| 1568552024 | Brunswick Academy of Total Learning | Community/Behavioral Health | 344 Mulberry Street, Shallotte, NC 28459 | 2006-10-13 |
| 1952909160 | Coastal Horizons Center Inc | Community/Behavioral Health | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2020-10-12 |
| 1174019426 | Coastal Horizons Center | Community/Behavioral Health | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2018-07-10 |
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| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
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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.