Southeastern United Care Llc

LBN: Southeastern United Care Llc
Southeastern United Care Llc is an health care organization with primary practice located at 30 Drakes Branch Drive , Pembroke NC 28372-7325. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Southeastern United Care Llc can be contacted via phone (910) 521-9557, or through Locklear, Demetrus via phone (910) 521-9557.

Contact Information

Primary practice address
30 Drakes Branch Drive Pembroke NC 28372-7325
Fax: (910) 521-0077
Website:
Authorized official contact:
Name: Locklear, Demetrus Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC 2923 North Carolina
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1922093947
LBN Legal business name Southeastern United Care Llc
DBA Doing business as
Authorized official Locklear, Demetrus Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 23rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922093947 NPPES
North Carolina MEDICAID 3408256
North Carolina MEDICAID 8301697
North Carolina MEDICAID 6006401
North Carolina MEDICAID 6601239
North Carolina MEDICAID 8301697B
North Carolina MEDICAID 8301697G

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