Southeastern Health Plus, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTHEASTERN HEALTH PLUS, INC.

Practice address

1301 48TH Ave N Ste C
Myrtle Beach, SC 29577-5427

Phone

(843) 839-1374

Fax

(877) 408-8192

NPI assigned

Jul 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John J Moran

Title

Chief Financial Offi

Phone

(843) 939-1374

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1124026547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 48TH AVE N STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775427",
            "telephone_number": "843-839-1374",
            "fax_number": "877-408-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 48TH AVE N STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775427",
            "telephone_number": "843-839-1374",
            "fax_number": "877-408-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEALTH PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFI",
        "authorized_official_telephone_number": "843-939-1374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME925",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina Podiatric Physicians and Surgeons Group, LLC
• South Coast Dental LLC
• South Strand Cardiology LLC
• South Strand Internists PA
• Southeast Medical Associates LLC
• Southeastern Hospitalist Services PC
• Southern Cross Psychiatric Services of South Carolina, Inc.
• Southern Home Care Services, Inc.
• Southern Myrtle Inpatient Services, LLC
• Southern Oak Dental, LLC

• Customized Equipment (DME) in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.