Carolina Residential Services, Inc.

LBN: Carolina Residential Services, Inc.
Carolina Residential Services, Inc. is an health care organization with primary practice located at 641 W Main Ave , Taylorsville NC 28681-2327. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. Carolina Residential Services, Inc. can be contacted via phone (828) 632-0790, or through Wilson, Derek via phone (919) 662-7873.

Contact Information

Primary practice address
641 W Main Ave Taylorsville NC 28681-2327
Phone: (828) 632-0790
Fax: (828) 635-5850
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Derek
Phone: (919) 662-7873

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1053443408
LBN Legal business name Carolina Residential Services, Inc.
DBA Doing business as
Authorized official Wilson, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 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 1053443408 NPPES
North Carolina MEDICAID 8301658B

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