Carolina Residential Services, Inc

LBN: Carolina Residential Services, Inc
Carolina Residential Services, Inc is an health care organization with primary practice located at 1691 Old Buffalo Ford Rd , Asheboro NC 27205-7893. 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, Inc can be contacted via phone (336) 633-4255, or through Wilson, Derek via phone (919) 662-7873.

Contact Information

Primary practice address
1691 Old Buffalo Ford Rd Asheboro NC 27205-7893
Fax: (336) 633-4255
Website:
Authorized official contact:
Name: Wilson, Derek

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-076-056 North Carolina

Profile Details

NPI number 1316080039
LBN Legal business name Carolina Residential Services, Inc
DBA Doing business as
Authorized official Wilson, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 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 1316080039 NPPES
North Carolina MEDICAID 7804135

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