Carolina Residential Services

LBN: Carolina Residential Services
Carolina Residential Services is an health care organization with primary practice located at Us Highway 13 N , Ahoskie NC 27910-9267. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Carolina Residential Services can be contacted via phone (252) 794-1859, or through Wilson, Derek via phone (919) 662-7873.

Contact Information

Primary practice address
Us Highway 13 N Ahoskie NC 27910-9267
Phone: (252) 794-1859
Fax: (252) 794-1859
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Derek
Phone: (919) 662-7873

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL 08028 North Carolina

Profile Details

NPI number 1427181403
LBN Legal business name Carolina Residential Services
DBA Doing business as
Authorized official Wilson, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427181403 NPPES
North Carolina MEDICAID 7805070

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