NPI Lens

Self-Determination LLC

NPI 1639408248ActiveOrganization· Case Management· Kings Mtn, NC

Case Management in Kings Mtn, North Carolina, registered in NPPES in December 2009. The authorized official on file is Floydce Jefferies, President.

Overview

NPI1639408248
StatusActive
Entity typeOrganization
NPI issuedDec 9, 2009
Last updated in NPPESAug 10, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Case Management Primary251B00000X——
Community/Behavioral Health251S00000X——
Clinic/Center, Developmental Disabilities261QD1600X——
Community Based Residential Treatment Facility, Mental Illness320800000X023-197NC
Community Based Residential Treatment Facility, Mental Illness320800000X——
Residential Treatment Facility, Emotionally Disturbed Children322D00000X012-129NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years