Organization Active NPI

Southerland Consulting Group Services, Inc

  • Home Health Agency
  • Raeford, NC
National Provider Identifier
1053664227
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERLAND CONSULTING GROUP SERVICES, INC
Doing business as
United Alliance Health Services
Practice address
111 W Elwood Ave
Raeford, NC 28376-2801
Phone
(910) 978-9118
Fax
(910) 641-0001
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andy Maurice Southerland
Title
President
Phone
(910) 978-9118

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

111 W Elwood Ave
Raeford, NC 28376-2801

Mailing address

PO Box 417
Raeford, NC 28376-0417
Phone (910) 978-9118

Other names 1

  • United Alliance Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1053664227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760417",
            "telephone_number": "910-978-9118",
            "fax_number": "910-641-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762801",
            "telephone_number": "910-978-9118",
            "fax_number": "910-641-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERLAND CONSULTING GROUP SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-978-9118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Alliance Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.