Carolina Residential Services, Inc

LBN: Carolina Residential Services, Inc
Carolina Residential Services, Inc is an health care organization with primary practice located at 144-B Community College Road , Ahoskie NC 27910-8047. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Carolina Residential Services, Inc can be contacted via phone (252) 332-8553, or through Kincaid, Susan via phone (828) 572-2333.

Contact Information

Primary practice address
144-B Community College Road Ahoskie NC 27910-8047
Fax: (252) 332-8553
Website:
Authorized official contact:
Name: Kincaid, Susan

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL-046-023 North Carolina

Profile Details

NPI number 1043353550
LBN Legal business name Carolina Residential Services, Inc
DBA Doing business as
Authorized official Kincaid, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Oct 31st, 2009 - about 15 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 1043353550 NPPES
North Carolina MEDICAID 8300936S

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