Carolina Residential Services, Inc.
LBN: Carolina Residential Services, Inc.
Carolina Residential Services, Inc. is an health care organization with primary practice located at 130 Williams St , Boonville NC 27011-9300. 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 (336) 367-9039, or through Kincaid, Susan M via phone (828) 572-2333.
Contact Information
Primary practice address
130 Williams St
Boonville NC 27011-9300
Phone: (336) 367-9039
Fax: (336) 367-9039
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 099015 | North Carolina |
Profile Details
| NPI number | 1427180975 |
|---|---|
| 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 | Mar 11th, 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 | 1427180975 | NPPES |
| North Carolina | MEDICAID | 7806585 | |
| North Carolina | MEDICAID | 7805080 |
Popular Providers
-
Community Services For The Developmentally Disabled, Inc
452 Delaware Ave , Buffalo NY 14202-1515 -
Central Ohio Group Homes, Inc.
80 Miller St , Centerburg OH 43011-9741 -
Carolina Residential Services, Inc.
160 River Rd , Boonville NC 27011-8338 -
Central Ohio Group Homes, Inc.
5520 County Road 25 , Cardington OH 43315-9346 -
Yadkin Home Place Six Inc
160 River Rd , Boonville NC 27011-8338 -
Central Ohio Group Homes, Inc.
5944 Marion Mount Gilead Rd , Caledonia OH 43314-9417 -
Victor C. Neumann Association
5547 N Ravenswood Ave , Chicago IL 60640-1125 -
Central Ohio Group Homes, Inc.
5970 Marion Mount Gilead Rd , Caledonia OH 43314-9417