MARTIN COUNTY RESIDENTIAL SERVICES INC. (NPI# 1124168141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124168141 |
| Entity Type | Organization |
| Organization Name | MARTIN COUNTY RESIDENTIAL SERVICES INC. |
| Other Organization Name | MARTIN ENTERPRISES |
| Practice Address |
6003 West Main Street Williamston NC 27892 |
| Mailing Address |
Po Box 1042 Williamston NC 27892-1042 |
| Practice Telephone | 2527928251 |
| Practice Fax Number | 2527925283 |
| Mailing Telephone | 2527928251 |
| Mailing Fax Number | 2527925283 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MRS. BECKY RENN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2527928251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | MHL058002 | NC | Other Service Providers |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL058004 | NC | Residential Treatment Facilities |
| N | 373H00000X | Day Training/Habilitation Specialist | MHL058002 | NC | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | MHLO58003 | NC | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | MHL058004 | NC | Nursing Service Related Providers |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL058003 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Martin Enterprises | Doing Business As Name - Organization |
| Street Address |
6003 WEST MAIN STREET |
| City | WILLIAMSTON |
| State | NC |
| Zip Code | 27892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1285136762 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1227 Brentway Ave, Williamston, NC 27892 | 2018-03-01 |
| 1528443843 | Jeanette Ruffin | Counselor | 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 | 2015-07-28 |
| 1578719712 | Martin County Residential Services | Community/Behavioral Health | 6003 W. Main Street, Williamston, NC 27892 | 2008-08-07 |
| 1962662577 | Otis Benjamin Burnett Iv | Anesthesiology | 310 South Mckaskey Rd, Williamston, NC 27892 | 2008-06-17 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1568645521 | Earle Eugene Barnard | Physical Therapist | 115 West Boulevard, Williamston, NC 27892 | 2007-12-13 |
| 1962551374 | David T Marshburn | Dentist | 1025 Harrisway Drive, Williamston, NC 27892 | 2007-01-09 |
| 1164580775 | Steven Philip Dewees | Emergency Medicine | 1130 Godwin Dr, Williamston, NC 27892 | 2006-12-05 |
| Find all providers in zip 27892 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275782856 | Nykevia's Community Development Centerv | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1997 Reddicks Grove Church Rd, Williamston, NC 27892-8757 | 2008-09-18 |
| 1467524710 | Focus Health Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Warren St, Williamston, NC 27892-2453 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 27892 |
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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.