SOUTHEASTERN UNITED CARE LLC NPI 1023292778

Community/Behavioral Health in Laurinburg, NC

NPI 1023292778 Organization Community/Behavioral Health

About SOUTHEASTERN UNITED CARE LLC

Southeastern United Care Llc is a provider established in Laurinburg, North Carolina specializing in community/behavioral health. The NPI number of Southeastern United Care Llc is 1023292778 and was assigned on December 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Demetrus Locklear Ba (Agency Director Owner)

NPI

1023292778

Provider NameSOUTHEASTERN UNITED CARE LLC
Provider Location Address213 W CRONLY ST LAURINBURG, NC 28352
Provider Mailing AddressPO BOX 159 PEMBROKE, NC 28372
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-18-2007
Last Update Date05-12-2008


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

SOUTHEASTERN UNITED CARE LLC
213 W CRONLY ST
LAURINBURG, NC
ZIP 28352
Phone: (910) 276-7635
Fax: (910) 276-7603

Get Directions


Mailing Address

SOUTHEASTERN UNITED CARE LLC
PO BOX 159
PEMBROKE, NC
ZIP 28372
Phone: (910) 521-9557
Fax: (910) 521-0077



Authorized Official

Authorized Official NameMR. DEMETRUS LOCKLEAR BA
Authorized Official TitleAGENCY DIRECTOR OWNER
Authorized Official Phone(910) 521-9557

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1251E00000XAgenciesHome HealthHC3129NCNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8302154GMEDICAID (05)NC
8302154MEDICAID (05)NC
6006402MEDICAID (05)NC
8302154HMEDICAID (05)NC
8302154BMEDICAID (05)NC

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073846358SOUTHEASTERN UNITED CARE
Organization
Community/Behavioral Health213 W CRONLY ST
LAURINBURG, NC 28352
(910) 521-9557
1487729075LASHONDA SWINDELL WILLIAMSON
Organization
Home Health213 W CRONLY ST SUITE 1
LAURINBURG, NC 28352
(910) 276-4644

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.