CAROLINA RESIDENTIAL SERVICES, INC. (NPI# 1265652754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265652754 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC. |
| Practice Address |
2302 Lewis Thomas Rd Asheboro NC 27205-1501 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 3366334255 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-10-31 |
| Authorized Official Name | SUSAN M KINCAID (DIRECTOR) |
| Authorized Official Telephone | 8285722333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NC | Residential Treatment Facilities |
| 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 |
| 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 |
| 1144352691 | Carolina Residential Services, Inc. | Community/Behavioral Health | 1014 Hay St, Fayetteville, NC 28305-5316 | 2007-03-11 |
| 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 |
2302 LEWIS THOMAS RD |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27205-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205044385 | Carolina Residential Services, Inc. | Case Management | 2302 Lewis Thomas Rd, Asheboro, NC 27205-1501 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208349 | Marva Price | Nurse Practitioner | 2222 South Fayetteville Street, Randolph County Health Department, Asheboro, NC 27205 | 2015-02-24 |
| 1982948386 | Sara Ann Coponen | Counselor | 4539 Cross Creek Rd, Asheboro, NC 27205 | 2012-11-26 |
| 1104151729 | Holly Marie O'grady Vanbencoten | Physician Assistant | 1714 Back Creek Ct, Asheboro, NC 27205 | 2009-10-15 |
| 1306060280 | Harmon Physical Therapy, Inc | Clinic/Center | 304 Lanier Avenue, Asheboro, NC 27205 | 2007-04-12 |
| 1932154408 | Behavioral Associates of Asheboro | Counselor | 547 N. Fayettevillie Street, Asheboro, NC 27205 | 2006-05-23 |
| 1487120614 | Dallas Welborn Hurley | Nurse Practitioner | 2222 S Fayetteville St Ste B, Asheboro, NC 27205 | 2018-10-15 |
| 1225522592 | Ashley Humble Wilson | Nurse Practitioner | 300 Mack Rd, Suite B, Ashbeoro, NC 27205 | 2018-06-19 |
| 1134356819 | Monarch | Community/Behavioral Health | 837 Oakwood Acres Rd, Asheboro, NC 27205-0910 | 2009-06-19 |
| 1457644791 | Jakia Danielle Marshall | Counselor | 987 Redwood Dr, Asheboro, NC 27205-0926 | 2011-05-19 |
| 1851836662 | Manashi C-lim Therapy Services, Pllc. | Occupational Therapist | 2168 S Lake Dr, Asheboro, NC 27205-1053 | 2017-01-03 |
| Find all providers in zip 27205 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558584532 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 218 Pineview St, Asheboro, NC 27203-3036 | 2007-04-10 |
| 1558499699 | Isleys Hands On Care Inc | Community Based Residential Treatment Facility, Mental Illness | 521 Henley Country Rd, Asheboro, NC 27203 | 2007-03-01 |
| 1316080039 | Carolina Residential Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1691 Old Buffalo Ford Rd, Asheboro, NC 27205-7893 | 2007-02-14 |
| 1114060654 | Carolina Residential Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1691 Old Buffalo Ford Rd, Asheboro, NC 27205-7893 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
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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.