CAROLINA RESIDENTIAL SERVICES, INC (NPI# 1043353550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043353550 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC |
| Practice Address |
144-b Community College Road Ahoskie NC 27910-8047 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 2523328553 |
| Practice Fax Number | 2523328553 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-10-31 |
| Authorized Official Name | SUSAN KINCAID (DIRECTOR) |
| Authorized Official Telephone | 8285722333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-046-023 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300936S | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063555886 | Carolina Residential Services, Inc | Community/Behavioral Health | 310 Burke Dr, Morganton, NC 28655-5395 | 2007-02-14 |
| 1497898183 | Carolina Residential Services, Inc | Community/Behavioral Health | 413 Glancy St, Swansboro, NC 28584-9656 | 2007-02-14 |
| 1265575971 | Carolina Residential Services, Inc | Custodial Care Facility | 804 Hunter St, Statesville, NC 28677-3530 | 2007-02-14 |
| 1700929445 | Carolina Residential Services, Inc | Community/Behavioral Health | 910 Spring St, Mount Airy, NC 27030-5512 | 2007-02-14 |
| 1952444747 | Carolina Residential Services, Inc | Community/Behavioral Health | 103 S Front St, Warsaw, NC 28398-1832 | 2007-02-14 |
| 1104969989 | Carolina Residential Services, Inc | Community/Behavioral Health | 307 Giddens St, Clinton, NC 28328-3413 | 2007-02-14 |
| 1447393277 | Carolina Residential Services, Inc | Community/Behavioral Health | 933 W Main Ave, Taylorsville, NC 28681-2366 | 2007-02-14 |
| 1497898159 | Carolina Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 301 W Camden St, Windsor, NC 27983-1828 | 2007-02-14 |
| 1275676959 | Carolina Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Church St E, Ahoskie, NC 27910-3524 | 2007-02-14 |
| 1326181827 | Carolina Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Cherry Street, Woodland, NC 27897-0717 | 2007-02-14 |
| Street Address |
144-B COMMUNITY COLLEGE ROAD |
| City | AHOSKIE |
| State | NC |
| Zip Code | 27910-8047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
| 1265925697 | Livingwordoutreachministries.com | Health Educator | 208 Carolina Ave S, Ahoskie, NC 27910 | 2018-06-11 |
| 1932623956 | Vernon David Collins | Pharmacist | 925 East Memorial Drive, Ahoskie, NC 27910 | 2017-08-01 |
| 1417484890 | Apoorva Vivek Saoji | Internal Medicine | 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 | 2017-05-17 |
| 1124483532 | Shanta Harrell | Adult Companion | 106 Holloman Avenue, Ahoskie, NC 27910 | 2015-12-30 |
| 1144607623 | All-american Home Care, LLC | In Home Supportive Care | 900 E. Memorial Dr, Ahoskie, NC 27910 | 2015-05-04 |
| 1649660481 | Lindsay Yount Lyall | Physician Assistant | 500 South Academy Street, Ahoskie, NC 27910 | 2015-02-02 |
| 1932506771 | Kathy Massengale | Nurse Practitioner | 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 | 2014-11-21 |
| 1750700795 | Jessica Brown Spruill | Dietitian, Registered | 718 Evans Street, Ahoskie, NC 27910 | 2014-04-07 |
| 1437405578 | Lakeisha Yvette Walker | Counselor | 114b West St S, Ahoskie, NC 27910 | 2012-07-26 |
| Find all providers in zip 27910 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190355 | Place of Purpose | Community/Behavioral Health | 109 Dr Mlk Jr Dr N, Ahoskie, NC 27910-7612 | 2019-02-14 |
| 1073984316 | A Valley of Visions, LLC | Community/Behavioral Health | 307 Main St E, Ahoskie, NC 27910-3419 | 2015-10-13 |
| 1225310048 | Individuals First Care Network, Inc. | Community/Behavioral Health | 209 Rail Road St., Ahoskie, NC 27910-3042 | 2011-09-19 |
| 1679805576 | Solid Foundation Facilities, Inc. | Community/Behavioral Health | 1321 West First Street, Ahoskie, NC 27910-8842 | 2010-02-03 |
| 1518196492 | Optimum Behavioral Health Care | Community/Behavioral Health | 1109 E Memorial Dr Ste 2, Ahoskie, NC 27910-3919 | 2009-07-13 |
| 1790929503 | Cnc/access, Inc. | Community/Behavioral Health | 400 Peacock St, Ahoskie, NC 27910-3930 | 2009-04-23 |
| 1518162320 | Solid Foundation Facilities, Inc | Community/Behavioral Health | 1313 1st St W, Ahoskie, NC 27910-8842 | 2007-06-20 |
| 1093919649 | Carolyn Cassandra Hall | Community/Behavioral Health | 203 Hall Siding Rd, Ahoskie, NC 27910-8095 | 2007-06-14 |
| 1306985155 | We Are All Connected | Community/Behavioral Health | 110 Mitchell St N, Ahoskie, NC 27910-3030 | 2007-02-06 |
| 1184181018 | Jk2c, LLC | Community/Behavioral Health | 312 Academy St S, Ahoskie, NC 27910-3200 | 2019-02-27 |
| Find all providers in AHOSKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.