Carolina Residential Services, Inc
LBN: Carolina Residential Services, Inc
Carolina Residential Services, Inc is an health care organization with primary practice located at 804 Hunter St , Statesville NC 28677-3530. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Carolina Residential Services, Inc can be contacted via phone (704) 883-0850, or through Kincaid, Susan M via phone (828) 572-2333.
Contact Information
Primary practice address
804 Hunter St
Statesville NC 28677-3530
Phone: (704) 883-0850
Fax: (704) 873-9502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-049-063 | North Carolina |
Profile Details
| NPI number | 1265575971 |
|---|---|
| LBN Legal business name | Carolina Residential Services, Inc |
| DBA Doing business as | |
| Authorized official | Kincaid, Susan M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 20th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265575971 | NPPES |
| North Carolina | MEDICAID | 7803401 | |
| North Carolina | MEDICAID | 7806597 |
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