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
Phone: (336) 633-4255
Fax: (336) 633-4255
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316080039 | NPPES |
North Carolina | MEDICAID | 7804135 |
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