CAROLINA RESIDENTIAL SERVICES, INC (NPI# 1104969989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104969989 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC |
| Practice Address |
307 Giddens St Clinton NC 28328-3413 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 9102995032 |
| Practice Fax Number | 9102995033 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | MS. SUSAN M KINCAID (DIRECTOR) |
| Authorized Official Telephone | 8285722333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-082-007 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8303431S | 05 | |
| NC | 8301235S | 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 |
| 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 |
| 1275676959 | Carolina Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Church St E, Ahoskie, NC 27910-3524 | 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 |
307 GIDDENS ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528333424 | Carolina Residential Services, Inc. | Community/Behavioral Health | 307 Giddens St, Clinton, NC 28328-3413 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| 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] |
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| 1356956528 | Anchor Wellness LLC | Community/Behavioral Health | 22 N High St, Clinton, CT 06413-1731 | 2020-09-14 |
| 1194349795 | Creative Sisters Counseling LLC | Community/Behavioral Health | 134 Fairmont St Ste C, Clinton, MS 39056-4739 | 2020-05-31 |
| 1114570173 | Strive Therapeutic Services Inc | Community/Behavioral Health | 1508 Neptune Dr, Clinton, OK 73601-9706 | 2019-07-18 |
| 1467987701 | One Hope, LLC | Community/Behavioral Health | 2 Dove Way Cir, Clinton, MS 39056-3589 | 2017-04-24 |
| 1043751548 | Wilma Gaines | Community/Behavioral Health | 7801 Royal Fern Ct, Clinton, MD 20735-2054 | 2017-03-16 |
| 1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
| 1003365164 | Right Path House, LLC | Community/Behavioral Health | 23 Elmwood Way, Clinton, CT 06413-1508 | 2016-09-29 |
| 1912452095 | Restore Counseling and Consulting Services | Community/Behavioral Health | 610 E Leake St, Clinton, MS 39056-4321 | 2016-08-18 |
| 1245691187 | Frelix Consulting | Community/Behavioral Health | 207 Trailwood Dr, Clinton, MS 39056-5844 | 2016-03-18 |
| 1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
| Find all providers in CLINTON | ||||
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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.