Active NPI
Southeastern Adult Day Center
- Community/Behavioral Health Agency
- Raleigh, NC
National Provider Identifier
1447456793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 8301428P
- Legal business name
- SOUTHEASTERN ADULT DAY CENTER
- Practice address
- 2046 New Bern Ave
Raleigh, NC 27610 - Phone
- (919) 250-3630
- Fax
- (919) 250-3631
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evelyn Sanders
- Title
- President
- Phone
- (919) 250-3630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 8301428P | NC | Primary |
Addresses
Primary practice location
2046 New Bern Ave
Raleigh, NC 27610
Mailing address
PO Box 46775
Raleigh, NC 27620-6775
Phone (919) 250-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301428B | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Southeastern Adult Day Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Benson, NC
- NPI 1093997876
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1417152471
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1518162544
Locations
2046 New Bern Ave
Raleigh, NC 27610
Phone (919) 250-3630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1447456793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46775",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276206775",
"telephone_number": "919-250-3630",
"fax_number": "919-250-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-250-3630",
"fax_number": "919-250-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN ADULT DAY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-250-3630"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "8301428P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301428B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- South Eastern Medical Suplies,Inc
- Southeast Family Services of Raleigh
- Southeast Family Services, LLC
- Southeast Primary Care, PLLC
- Southeastern Adult Day Center
- Southeastern Adult Day Center
- Southeastern Healthcare of North Carolina, Inc.
- Southeastern Imaging Consultants, LLC
- Southeastern Orthopedics Sports Medicine & Shoulder Center PA
- Southeastern Residential Services of NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.