Carolina Healthcare Southeast Region, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3361 Issued in NC

Legal business name

CAROLINA HEALTHCARE SOUTHEAST REGION, LLC

Practice address

123 E Martin St
Suite 300
Wadesboro, NC 28170-2216

Phone

(336) 608-1548

Fax

(336) 397-0097

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Judge McLain

Title

Member

Phone

(336) 608-1548

Specialties & licenses 1

Addresses

Tax ID family

Carolina Healthcare Southeast Region LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Carolina Healthcare Southeast Region, LLC

  • Home Health Agency
  • Charlotte, NC
  • NPI 1073843546
  NPD tax ID

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1376773283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 2501",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013836",
            "telephone_number": "336-608-1548",
            "fax_number": "336-397-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E MARTIN ST",
            "address_2": "SUITE 300",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702216",
            "telephone_number": "336-608-1548",
            "fax_number": "336-397-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE SOUTHEAST REGION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JUDGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-608-1548",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C-Lou'S Family Services
• Cape Fear Optometric Clinic PA
• Ronald Shedrick Capel, CARF
• Carolina Community Transit LLC
• Carolina Eye Associates Inc
• Carolina-Anson Healthcare Incorporated
• Carolinas Anson Healthcare Inc.
• Carolinas Anson Healthcare, Inc.
• Carolinas-Anson Healthcare Inc.
• Carolinas-Anson Healthcare, Inc.

• Home Health Agency in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.