CAROLINA RESIDENTIAL SERVICES, INC. (NPI# 1982805933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982805933 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC. |
| Practice Address |
126 Commercial Rd Ahoskie NC 27910-9469 |
| Mailing Address |
1202 Benson Rd Garner NC 27529-4648 |
| Practice Telephone | 2523325709 |
| Mailing Telephone | 9196627731 |
| Mailing Fax Number | 9196627879 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEREK WILSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9196627731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| 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 |
| 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 |
| 1063544518 | Carolina Residential Services, Inc. | Community/Behavioral Health | 534 Elk Spur St, Elkin, NC 28621-3206 | 2007-03-11 |
| Street Address |
126 COMMERCIAL RD |
| City | AHOSKIE |
| State | NC |
| Zip Code | 27910-9469 |
| 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 | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235397035 | Resolutions for Care Network Incorporated | Day Training, Developmentally Disabled Services | 109 Loftin Ln, Ahoskie, NC 27910-3449 | 2008-05-28 |
| 1356724942 | Edwards Developmental Service | Day Training, Developmentally Disabled Services | 110 Mitchell St N, Ahoskie, NC 27910-3030 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| 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.