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:
Map and Directions
Authorized official contact:
Name: Kincaid, Susan M
Phone: (828) 572-2333

Health care specialties

SpecialtyCodeLicense #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 11 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 1265575971 NPPES
North Carolina MEDICAID 7803401
North Carolina MEDICAID 7806597

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