Carolina Residential Services, Inc
LBN: Carolina Residential Services, Inc
Carolina Residential Services, Inc is an health care organization with primary practice located at 324 Pine Valley Rd , Jacksonville NC 28546-7784. 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 (910) 353-1415, or through Kincaid, Susan M via phone (828) 572-2333.
Contact Information
Primary practice address
324 Pine Valley Rd
Jacksonville NC 28546-7784
Phone: (910) 353-1415
Fax: (910) 353-1415
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-067-102 | North Carolina |
Profile Details
| NPI number | 1588707236 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588707236 | NPPES |
| North Carolina | MEDICAID | 7804291 | |
| North Carolina | MEDICAID | 7806596 |
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