WILSON COUNTY RESIDENTIAL SERVICES (NPI# 1851515977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851515977 |
| Entity Type | Organization |
| Organization Name | WILSON COUNTY RESIDENTIAL SERVICES |
| Practice Address |
731 Se 3rd St Snow Hill NC 28580-1644 |
| Mailing Address |
115b Hines St W Wilson NC 27893-3924 |
| Practice Telephone | 2527478267 |
| Practice Fax Number | 2522061681 |
| Mailing Telephone | 2522374778 |
| Mailing Fax Number | 2522061681 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GALE PURVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2522374778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | APARTMENT SITES | WG000150 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225254006 | Wilson County Residential Services | Private Vehicle | 115b Hines St W, Wilson, NC 27893-3924 | 2007-04-18 |
| 1871612978 | Wilson County Residential Services | Lodging | 702 Selma St Sw, Wilson, Wilson, NC 27893-4886 | 2007-03-28 |
| Street Address |
731 SE 3RD ST |
| City | SNOW HILL |
| State | NC |
| Zip Code | 28580-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823698 | Gavin Mundy | Student in an Organized Health Care Education/Training Program | 7 Professional Drive, Snow Hill, NC 28580 | 2016-03-17 |
| 1689870222 | Edwards Community Support Services | Community Based Residential Treatment Facility, Mental Illness | 202 Hart Street, Snow Hill, NC 28580 | 2007-06-21 |
| 1669686887 | Cheryl Taylor Carraway | Dentist | 1117 Se Second St, Snow Hill, NC 28580 | 2007-05-09 |
| 1306882337 | Carmen Lucia Moreno | Pediatrics | 205 Martin Luther King Jr Pkway, Snow Hill, NC 28580 | 2006-06-20 |
| 1134195142 | Alexander Robertson | Pediatrics | 205 Martin Luther King Jr Parkway, Snow Hill, NC 28580 | 2006-02-28 |
| 1700888542 | Greene County Health Care Incorporated | Clinic/Center | 205 Martin Luther King Jr Pkwy, Snow Hill, NC 28580 | 2005-08-11 |
| 1972092054 | Heritage Family Health and Wellness Pa | Family Medicine | 1108b Kingold Blvd, Snow Hill, NC 28580 | 2018-05-04 |
| 1013127067 | Christine C Miller | Registered Nurse | 227 Kingold Blvd Ste B, Snow Hill, NC 28580-1303 | 2007-05-22 |
| 1407975816 | Greene County Dss | Case Management | 227 Kingold Blvd Ste A, Snow Hill, NC 28580-1303 | 2007-03-28 |
| 1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
| Find all providers in zip 28580 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701903 | Another Chance: House of Refuge | Lodging | 1708 Chambers Dr Apt 15, Matthews, NC 28105-4782 | 2020-08-20 |
| 1003107277 | The Manor At Riverbrooke | Lodging | 3120 Tuckland Drive, Raleigh, NC 27610-5257 | 2011-04-22 |
| 1306161013 | Guiding Star Health Care Adult Group Home | Lodging | 2809 Huntington Ct, Rocky Mount, NC 27803-1641 | 2010-04-06 |
| 1285866319 | The Manor At Edgewater | Lodging | 1038 Stormy Ln, Raleigh, NC 27610-6074 | 2009-08-24 |
| 1528204286 | Kirk Matthew Ledoux | Lodging | 305 Causby Ln, Hendersonville, NC 28791-8721 | 2008-12-31 |
| 1114191921 | Carillon Assisted Living of Lincolnton, LLC | Lodging | 440 Salem Church Road, Lincolnton, NC 28092-8856 | 2008-04-14 |
| 1790966554 | The Manor At Coventry Creek | Lodging | 5124 Werribee Dr, Raleigh, NC 27616-5546 | 2007-11-21 |
| 1801081310 | Lee's Family Care Home | Lodging | 945 Vaiden Road, Louisburg, NC 27549-8096 | 2007-09-07 |
| 1467650036 | Pittman Family Care | Lodging | 47 Piney Haven Dr, Bakersville, NC 28705-0525 | 2007-07-05 |
| 1235334194 | Suzan Lynne Booker | Lodging | 1424 Huntdell Main Dr, Wendell, NC 27591-7254 | 2007-06-19 |
| 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.