SOUTHEASTERN WAKE ADULT DAY CENTER (NPI# 1699132571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699132571 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN WAKE ADULT DAY CENTER |
| Other Organization Name | SOUTHEASTERN ADULT DAY CENTER |
| Practice Address |
3401 Carl Sandburg Ct Raleigh NC 27610-2049 |
| Mailing Address |
Po Box 46775 Raleigh NC 27620-6775 |
| Practice Telephone | 9192128580 |
| Practice Fax Number | 9192128581 |
| Mailing Telephone | 9192128580 |
| Mailing Fax Number | 9192128581 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | MRS. EVELYN LANE SANDERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192128580 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HC2164 | NC | Agencies |
| N | 251E00000X | Home Health | HC2402 | NC | Agencies |
| Y | 251E00000X | Home Health | HC2279 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408446 | 05 | |
| NC | 6600825 | 05 | |
| NC | 6006326 | 05 |
| Other Name | Type Code |
|---|---|
| Southeastern Adult Day Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811192263 | Southeastern Wake Adult Day Center | Respite Care | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2007-06-17 |
| 1598816381 | Southeastern Wake Adult Day Center | Home Health | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2007-01-16 |
| Street Address |
3401 CARL SANDBURG CT |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336290147 | Southeastern Healthcare of North Carolina, Inc. | Community/Behavioral Health | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2007-01-16 |
| 1164936449 | Greta Rose Martin | Social Worker | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2017-11-26 |
| 1407217011 | Kandis Kelly | Social Worker | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2016-03-09 |
| 1487937751 | Racquel Merritt | Counselor | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2011-09-23 |
| 1811192263 | Southeastern Wake Adult Day Center | Respite Care | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2007-06-17 |
| 1598816381 | Southeastern Wake Adult Day Center | Home Health | 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827858 | Angelic Care Touch Inc | Home Health | 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 | 2020-10-06 |
| 1710584529 | Christopher Amadi Amadi | Home Health | 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 | 2020-10-05 |
| 1336756964 | All Star Home Health Care Inc | Home Health | 2609 Atlantic Ave Ste 101a, Raleigh, NC 27604-1550 | 2020-09-28 |
| 1306450895 | Angels By Surprise LLC | Home Health | 319 Chapanoke Rd Ste 114a, Raleigh, NC 27603-3433 | 2020-09-02 |
| 1740890128 | Mother Deborah Home Health Services Inc | Home Health | 2421 Timber Dr Ste 207, Raleigh, NC 27604-2265 | 2020-07-31 |
| 1679199160 | Dependable Home Care Service | Home Health | 8308 Tierra Del Sol Way, Raleigh, NC 27616-3512 | 2020-06-19 |
| 1972126282 | Twins Loving Care Services, LLC | Home Health | 4909 Waters Edge Dr Ste 102, Raleigh, NC 27606-2462 | 2020-05-20 |
| 1669094413 | Stalwart Home Health LLC | Home Health | 814 Rock Quarry Rd, Raleigh, NC 27610-5000 | 2020-05-15 |
| 1053933010 | Allied Medical Care, LLC | Home Health | 2421 Timber Dr, Raleigh, NC 27604-2248 | 2020-05-13 |
| 1275155160 | All-shift Home Health Agency LLC | Home Health | 3316 Rock Quarry Rd, Raleigh, NC 27610-5114 | 2020-05-13 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.