1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Community Behavioral Health
  6. NPI Profile

SOUTHEASTERN HEALTHCARE OF NORTH CAROLINA, INC.
NPI 1336290147
Community/Behavioral Health in Raleigh, NC

Active since January 16, 2007CLIA Certified · 2 labs
3401 CARL SANDBURG CT, RALEIGH, NC 27610(919) 212-8580(919) 212-8581 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2022, Aug 5, 2019, Jul 26, 2019 and 1 more (4 updates tracked since 2019).

About Southeastern Healthcare Of North Carolina, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN HEALTHCARE OF NORTH CAROLINA, INC. (NPI 1336290147) is a healthcare organization registered as a community/behavioral health in Raleigh, North Carolina and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Evelyn Sanders, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336290147
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHEASTERN HEALTHCARE OF NORTH CAROLINA, INC.
Location Address3401 CARL SANDBURG CTRaleigh, NC 27610-2049
Mailing AddressPo Box 14144Raleigh, NC 27620-4144 · (919) 212-8580
Phone(919) 212-8580
Fax(919) 212-8581
Organization SubpartNo
Authorized OfficialEvelyn SandersExecutive Director · (919) 987-2791
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 26, 20224 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
✔ NPI 1336290147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL-092-746
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
3401 CARL SANDBURG CT, Raleigh, NC 27610
Open in Google Maps ↗

Other Identifiers 1

Medicaid8303214NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2207795

Southeastern Healthcare Of North Carolina, Inc · Raleigh, NC
Active · expires Dec 30, 2026
CLIA Number34D2207795
Laboratory TypeIndependent
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorEvelyn L. Sanders
Laboratory Phone(919) 212-8580
Laboratory LocationSoutheastern Healthcare Of North Carolina, Inc3401 Carl Sandburg Court, Raleigh, NC 27610
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2210167

Southeastern Healthcare Of North Carolina, Inc · Raleigh, NC
Active · expires Jan 19, 2027
CLIA Number34D2210167
Laboratory TypeIndependent
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorEvelyn L. Sanders
Laboratory Phone(919) 212-8580
Laboratory LocationSoutheastern Healthcare Of North Carolina, Inc3401 Carl Sendburg Court, Raleigh, NC 27610
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIJAUNNA MAGGIE CHAVIS LCSWA
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
GRETA ROSE MARTIN MSW, LCSWA
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
MARY ANN MCNEILL-SANDERS LPN
Licensed Practical Nurse
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 627-2756
KANDIS KELLY LCSWA
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 987-2792
RACQUEL MERRITT LCSW, LCAS
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 987-2807
GEORGE SMITH
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 275-0726
SOUTHEASTERN WAKE ADULT DAY CENTER
Home Health
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
MALLORYE DELORIS LOVETT RDN
Dietitian, Registered
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Healthcare Of North Carolina, Inc.'s NPI number?

The NPI number for Southeastern Healthcare Of North Carolina, Inc. is 1336290147. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Southeastern Healthcare Of North Carolina, Inc. located?

Southeastern Healthcare Of North Carolina, Inc. is located at 3401 Carl Sandburg Ct, Raleigh, NC 27610. The listed phone number is (919) 212-8580.

What is Southeastern Healthcare Of North Carolina, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Southeastern Healthcare Of North Carolina, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southeastern Healthcare Of North Carolina, Inc. accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Southeastern Healthcare Of North Carolina, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Healthcare Of North Carolina, Inc. was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.