SOUTHEAST COMMUNITY OUTREACH LLC
NPI 1871810341
Community/Behavioral Health in Chadbourn, NC

NPI Status: Active since April 23, 2010

Contact Information

206 ENTERPRISE ST
CHADBOURN, NC
ZIP 28431
Phone: (919) 824-6339
Fax: (800) 595-4571

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 34D2177625
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-14-2026

About SOUTHEAST COMMUNITY OUTREACH LLC

This page provides the complete NPI Profile along with additional information for Southeast Community Outreach Llc, a provider established in Chadbourn, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1871810341 assigned on April 2010. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Theric Holt B.s., Qp (Executive Director)

NPI
1871810341
Provider Name
SOUTHEAST COMMUNITY OUTREACH LLC
Entity Type
Organization
Location Address
206 ENTERPRISE ST CHADBOURN, NC 28431
Location Phone
(919) 824-6339
Location Fax
(800) 595-4571
Mailing Address
PO BOX 161 WHITEVILLE, NC 28472
Mailing Phone
(919) 824-6339
Mailing Fax
(800) 595-4571
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2010
Last Update Date
04-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License State
NC
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THERIC HOLT B.S., QP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(919) 824-6339

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2177625
Facility Type
Assisted Living Facility
Certificate Effective Date
January 15, 2024
Certificate Expiration Date
January 14, 2026
Laboratory Director
MARIE MERRITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southeast Community Outreach Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871810341, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 6 + 1 + 0 + 3 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1871810341.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871810341, enumerated as an "organization" on April 23, 2010.

The provider is located at 206 ENTERPRISE ST CHADBOURN, NC 28431 and the phone number is (919) 824-6339.

Community/Behavioral Health with taxonomy code 251S00000X.