Carolina Residential Services, Inc

LBN: Carolina Residential Services, Inc
Carolina Residential Services, Inc is an health care organization with primary practice located at 910 Spring St , Mount Airy NC 27030-5512. 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) 786-8032, or through Kincaid, Susan M via phone (828) 572-2333.

Contact Information

Primary practice address
910 Spring St Mount Airy NC 27030-5512
Phone: (336) 786-8032
Fax: (336) 786-8032
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-086-037 North Carolina

Profile Details

NPI number 1700929445
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 1700929445 NPPES
North Carolina MEDICAID 7805082
North Carolina MEDICAID 7806595

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