CAROLINA SUPPORT SERVICES INC (NPI# 1194992347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194992347 |
| Entity Type | Organization |
| Organization Name | CAROLINA SUPPORT SERVICES INC |
| Practice Address |
925d Conference Dr Greenville NC 27858-5971 |
| Mailing Address |
Po Box 4236 Greenville NC 27836-2236 |
| Practice Telephone | 2527522002 |
| Practice Fax Number | 2527542008 |
| Mailing Telephone | 2527522002 |
| Mailing Fax Number | 2527542008 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MISS KAREN HESTER SPRUILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2527522002 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL074170 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6604079 | 05 |
| Street Address |
925D CONFERENCE DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-5971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912084161 | Carolina Support Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 925d Conference Dr, Greenville, NC 27858-5971 | 2006-11-01 |
| 1225422686 | Bradley Kornegay, Lcsw, Lcas, Pllc | Counselor | 925d Conference Dr, Greenville, NC 27858-5971 | 2015-03-24 |
| 1285911537 | Meghan Snellings Respess | Social Worker | 925d Conference Dr, Greenville, NC 27858-5971 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285157693 | Schylon Smith | Community Based Residential Treatment Facility, Mental Illness | 535 Holt Collier St, Greenville, MS 38701-3846 | 2017-07-18 |
| 1386806008 | Emmanuel Residential Facility Inc | Community Based Residential Treatment Facility, Mental Illness | 3300 Pinetree Lane, Greenville, NC 27858-1002 | 2008-06-25 |
| 1912084161 | Carolina Support Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 925d Conference Dr, Greenville, NC 27858-5971 | 2006-11-01 |
| 1710063375 | Excalibur Youth Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5321 Old Buncombe Rd, Greenville, SC 29609-0910 | 2006-10-27 |
| 1548794480 | Honey Lake Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1290 Nw Honey Lake Rd, Greenville, FL 32331-4075 | 2017-04-18 |
| 1508399056 | Honey Lake Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1290 Nw Honey Lake Rd, Greenville, FL 32331-4075 | 2017-04-11 |
| 1124577424 | Commnity Hope Christian Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 6728 Vining Rd, Greenville, MI 48838-9784 | 2016-09-27 |
| 1265869622 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 200 W 4th St, Greenville, NC 27858-1816 | 2013-10-01 |
| 1700083821 | New Start of North Carolina LLC | Community Based Residential Treatment Facility, Mental Illness | 708 W 14th Ave, Greenville, NC 27834-3083 | 2007-07-02 |
| 1811021488 | Joann Bridges Academy | Community Based Residential Treatment Facility, Mental Illness | 950 Sw Greenville Hills Rd, Greenville, FL 32331-3108 | 2007-03-15 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.