Southeastern United Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHEASTERN UNITED CARE LLC

Practice address

306 Beaman St
Clinton, NC 28328-2908

Phone

(910) 596-0001

Fax

(910) 596-2555

NPI assigned

Nov 5, 2007

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Demetrus Locklear, B.A.

Title

Agency Director/Owner

Phone

(910) 521-9557

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1225218548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283720159",
            "telephone_number": "910-521-9557",
            "fax_number": "910-521-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282908",
            "telephone_number": "910-596-0001",
            "fax_number": "910-596-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN UNITED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "DEMETRUS",
        "authorized_official_title_or_position": "AGENCY DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-521-9557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950142",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302091G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302091",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006398",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonita Bell Smith, LCMHCA
• Sophia B Pierce & Associates Inc (Royal Lane Group Home)
• Shannon South, DO
• Southeastern Medical Oncology Center
• Southeastern United Care
• Southeastern United Care, LLC
• Southeastern United Care, LLC
• Speech and Language Rehabilitation Services, Inc.
• Ashley Brown Spell, PHARMD
• Lauren Preddy Spell, OTD, OTR/L

• Community/Behavioral Health Agency in Clinton, NC
• Providers in Clinton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.