CAROLINA RESIDENTIAL SERVICES, INC. (NPI# 1881969616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881969616 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC. |
| Practice Address |
933 W Main Ave Taylorsville NC 28681-2366 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 8286320790 |
| Practice Fax Number | 8286355850 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | SUSAN M KINCAID (DIRECTOR/OWNER) |
| Authorized Official Telephone | 8284133786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-002-008 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8303432 | 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 |
| 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 |
| Street Address |
933 W MAIN AVE |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393277 | Carolina Residential Services, Inc | Community/Behavioral Health | 933 W Main Ave, Taylorsville, NC 28681-2366 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| 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 |
|---|---|---|---|---|
| 1437502093 | Gg Counseling Services, Inc | Community/Behavioral Health | 71 Running Creek Ct, Taylorsville, KY 40071-7246 | 2016-07-19 |
| 1003290057 | Turning Point Services, Inc. | Community/Behavioral Health | 68 Pop Davis Rd, Taylorsville, NC 28681-2680 | 2015-07-18 |
| 1750765954 | Turning Point Services, Inc. | Community/Behavioral Health | 438 Old Wilkesboro Rd, Taylorsville, NC 28681-2193 | 2015-07-17 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1497006571 | Highland Rivers Community Service Board | Community/Behavioral Health | 167 Iron Hill Rd, Taylorsville, GA 30178-1402 | 2012-09-28 |
| 1053674887 | Barium Springs Home for Children | Community/Behavioral Health | 501 E Main Ave, Taylorsville, NC 28681-2728 | 2012-06-18 |
| 1821383019 | Rha Health Services, Inc | Community/Behavioral Health | 395 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2011-06-15 |
| 1447393277 | Carolina Residential Services, Inc | Community/Behavioral Health | 933 W Main Ave, Taylorsville, NC 28681-2366 | 2007-02-14 |
| 1134580103 | Summit Community Counseling | Community/Behavioral Health | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2016-03-17 |
| 1619336393 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 395 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2016-02-23 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
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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.