OrganizationActive
Southeastern Regional Medical Center
NPI 1215173331 · Inpatient Hospice · Lumberton, NC
Provider details
- NPI number
- 1215173331
- Entity type
- Organization
- Primary specialty
- Inpatient HospiceNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Johnson, Cfo91067155090
- License
- H0064 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Pine Run Dr
Lumberton, NC 28358-2118
Phone: (910) 671-1488
Fax: (910) 738-3764
Street-level locationGet directions
Mailing address
2600 N Elm St
Lumberton, NC 28358-3011
Other names (DBA / former)
- Doing business as
- Srmc-Hospice Professional Services
Registry dates
- Enumerated
- 2008-12-18
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.