Southeastern Behavioral Homecare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3112 Issued in NC

Legal business name

SOUTHEASTERN BEHAVIORAL HOMECARE SERVICES INC

Practice address

3573 Lackey St
Lumberton, NC 28360-9048

Phone

(910) 738-1587

Fax

(910) 739-6698

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Virgil L Hutchinson

Title

Ceo

Phone

(910) 738-1587

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Locklear Dial, RN

  • Counselor
  • Lumberton, NC
  • NPI 1962746875
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1558427443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283591004",
            "telephone_number": "910-739-1587",
            "fax_number": "910-738-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 LACKEY ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609048",
            "telephone_number": "910-738-1587",
            "fax_number": "910-739-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN BEHAVIORAL HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-738-1587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601347",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602383",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408093",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lumberton, NC
• Providers in Lumberton, 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 May 1, 2013; 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.