NPIMap

Organization Active NPI

Southeastern United Care, LLC

  • Community/Behavioral Health Agency
  • Rockingham, NC
National Provider Identifier
1235323114
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEASTERN UNITED CARE, LLC
Practice address
1219 Rockingham Rd Ste 1
Rockingham, NC 28379-4925
Phone
(910) 997-6807
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Demetrus Locklear, BA
Title
Agency Director/Owner
Phone
(910) 997-6807

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1219 Rockingham Rd Ste 1
Rockingham, NC 28379-4925

Mailing address

1219 Rockingham Rd Ste 1
Rockingham, NC 28379-4925
Phone (910) 997-6807

Other identifiers 1

IdentifierTypeStateIssuer
6601239MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Southeastern United Care LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1235323114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 ROCKINGHAM RD STE 1",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794925",
            "telephone_number": "910-997-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 ROCKINGHAM RD STE 1",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794925",
            "telephone_number": "910-997-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN UNITED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "DEMETRUS",
        "authorized_official_title_or_position": "AGENCY DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-997-6807",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601239",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.