CAROLINA RESIDENTIAL SERVICES, INC (NPI# 1275676959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275676959 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC |
| Practice Address |
516 Church St E Ahoskie NC 27910-3524 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 2523323515 |
| Practice Fax Number | 2523323521 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-11-01 |
| Authorized Official Name | MS. SUSAN M KINCAID (DIRECTOR) |
| Authorized Official Telephone | 8285722888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-046-005 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804228 | 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 |
| 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 |
| 1811030463 | Carolina Residential Services, Inc | Community/Behavioral Health | 730 N Mulberry St, Statesville, NC 28677-3233 | 2007-02-14 |
| Street Address |
516 CHURCH ST E |
| City | AHOSKIE |
| State | NC |
| Zip Code | 27910-3524 |
| 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 | 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 |
|---|---|---|---|---|
| 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 | ||||
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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.