CAROLINA RESIDENTIAL SERVICES, INC. (NPI# 1144352691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144352691 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC. |
| Practice Address |
1014 Hay St Fayetteville NC 28305-5316 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 9109202891 |
| Practice Fax Number | 9109202756 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | MS. SUSAN M 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 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8303428S | 05 | |
| NC | 8301945 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629343512 | Carolina Residential Services, Inc. | Community/Behavioral Health | 204 Avery Ave, Morganton, NC 28655-3103 | 2012-03-12 |
| 1619242518 | Carolina Residential Services, Inc. | Community/Behavioral Health | 714 Simmons St, Goldsboro, NC 27530-3843 | 2012-03-12 |
| 1982805933 | Carolina Residential Services, Inc. | Day Training, Developmentally Disabled Services | 126 Commercial Rd, Ahoskie, NC 27910-9469 | 2007-05-29 |
| 1770705956 | Carolina Residential Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 314 East Westbrook Street, Wallace, NC 28466-1533 | 2007-05-03 |
| 1265652754 | Carolina Residential Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2302 Lewis Thomas Rd, Asheboro, NC 27205-1501 | 2007-04-26 |
| 1235261686 | Carolina Residential Services, Inc. | Case Management | 504 E Union St, Morganton, NC 28655-3456 | 2007-03-12 |
| 1053443408 | Carolina Residential Services, Inc. | Case Management | 641 W Main Ave, Taylorsville, NC 28681-2327 | 2007-03-12 |
| 1740312198 | Carolina Residential Services, Inc. | Community/Behavioral Health | 145 N Gilmer St, Mount Airy, NC 27030-3842 | 2007-03-12 |
| 1427180975 | Carolina Residential Services, Inc. | Community/Behavioral Health | 130 Williams St, Boonville, NC 27011-9300 | 2007-03-11 |
| 1063544518 | Carolina Residential Services, Inc. | Community/Behavioral Health | 534 Elk Spur St, Elkin, NC 28621-3206 | 2007-03-11 |
| Street Address |
1014 HAY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124393962 | Carolina Residential Services | Community/Behavioral Health | 1014 Hay St, Fayetteville, NC 28305-5316 | 2012-03-13 |
| 1710130299 | Angelic Community & Family Services of Cumberland Count | Preferred Provider Organization | 1014 Hay St, Fayetteville, NC 28305-5316 | 2008-10-29 |
| 1770784514 | Carolina Residential Services, Inc | Case Management | 1014 Hay St, Fayetteville, NC 28305-5316 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| 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 |
|---|---|---|---|---|
| 1528696796 | Faith Springs Eternal (fase), Pllc | Community/Behavioral Health | 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 | 2020-04-01 |
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1124591094 | Changing Places Therapeutic Center, Company | Community/Behavioral Health | 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 | 2019-01-03 |
| 1538632518 | Benevolent Counseling, Pllc | Community/Behavioral Health | 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 | 2019-01-02 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| 1629578851 | Jeanette Bostick | Community/Behavioral Health | 1628 Turkey Run, Fayetteville, NC 28312-7643 | 2018-02-14 |
| 1942718325 | A Mother's Pursuit, LLC | Community/Behavioral Health | 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 | 2018-01-18 |
| 1992213771 | Deborah A Atkinson Phd Pllc | Community/Behavioral Health | 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 | 2018-01-16 |
| 1841739455 | Aci Support Specialists | Community/Behavioral Health | 414 Snowhill Rd, Fayetteville, NC 28306-9073 | 2017-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
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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.