SOUTHEASTERN ADULT DAY CENTER - NPI 1699132571

Q: What is Southeastern Wake Adult Day Center's NPI number?

The NPI number for Southeastern Wake Adult Day Center is 1699132571. It was assigned to this organization in the NPPES registry on January 22, 2016. The provider is doing business as Southeastern Adult Day Center.

Q: What is Southeastern Wake Adult Day Center's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

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About Southeastern Adult Day Center NPPES

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

SOUTHEASTERN ADULT DAY CENTER (NPI 1699132571) is a healthcare organization registered as a home health in Raleigh, North Carolina and active in the NPI registry since January 2016. The organization lists Evelyn Lane Sanders, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699132571

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSOUTHEASTERN WAKE ADULT DAY CENTER

Location Address3401 CARL SANDBURG CTRaleigh, NC 27610-2049

Mailing AddressPo Box 46775Raleigh, NC 27620-6775 · (919) 212-8580 · Fax (919) 212-8581

Phone(919) 212-8580

Fax(919) 212-8581

Organization SubpartNo

Authorized OfficialEvelyn Lane SandersExecutive Director · (919) 212-8580

Enumeration DateJanuary 22, 2016

✔ NPI 1699132571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Licenses✔ Licensed in NC · HC2279✔ Licensed in NC · HC2164✔ Licensed in NC · HC2402

Definition

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.

3401 CARL SANDBURG CT, Raleigh, NC 27610

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Other Names 1

Doing Business AsSoutheastern Adult Day Center

Other Identifiers 3

Medicaid3408446NC

Medicaid6600825NC

Medicaid6006326NC

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)