KIDS' RESIDENTIAL SERVICES, INC.


Address: 1112 Devonshire Trl, Aberdeen, NC 28315-3910
Phone: 9109441047

KIDS' RESIDENTIAL SERVICES, INC. (NPI# 1225358427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225358427
Entity Type Organization
Organization Name KIDS' RESIDENTIAL SERVICES, INC.
Practice Address 1112 Devonshire Trl
Aberdeen
NC 28315-3910
Mailing Address Po Box 429
Fayetteville
NC 28302-0429
Practice Telephone 9109441047
Practice Fax Number 9108290088
Mailing Telephone 9108297184
Mailing Fax Number 9108290088
Enumeration Date 2010-06-10
Last Update Date 2013-03-25
Authorized Official Name MISS BRITTANY MARIE COOPER (PRESIDENT/EXECUTIVE DIRECTOR)
Authorized Official Telephone 9108297184
Authorized Official Credential C.H.E.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health MHL-063-016 NC Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740591684 Kids' Residential Services, Inc. Community/Behavioral Health 114 Greenhouse Ln, Southern Pines, NC 28387-3140 2010-06-25

Office Location

Street Address 1112 DEVONSHIRE TRL
City ABERDEEN
State NC
Zip Code 28315-3910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457481988 Peterkin & Associates, Inc. Assisted Living Facility 1112 Devonshire Trl, Aberdeen, NC 28315-3910 2007-03-06
1326476383 Greater Image Hc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1112 Devonshire Trl, Aberdeen, NC 28315-3910 2013-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942821681 Mission Physical Therapy LLC Clinic/Center 155 Allison Page Road, Suite B, Aberdeen, NC 28315 2020-05-05
1154768653 Dr Cameron and Associates, Pllc Dentist 292 Turner St., Aberdeen, NC 28315 2013-05-24
1891043493 Anne M Kratzer Doula 1000 Robinwood Rd, Aberdeen, NC 28315 2012-08-29
1912283912 Triune Laboratory Clinical Medical Laboratory 325b Fields Dr, Aberdeen, NC 28315 2011-10-24
1013206705 Alvin D. Wilson Social Worker 115 Ashleigh Blvd, Aberdeen, NC 28315 2011-04-01
1841593167 Constance L. Pearson Counselor 100 Magnolial Square Court, Aberdeen, NC 28315 2010-12-08
1568799617 Tammie C Watkins Pharmacist 15911 Hwy 15-501, Aberdeen, NC 28315 2009-11-11
1518002203 Kidspeace National Centers of North America Inc Community/Behavioral Health 604 Magnolia Drive, Aberdeen, NC 28315 2007-02-20
1891855847 Hope Family Center PC Family Medicine 210 Magnolia Square Ct, Aberdeen, NC 28315 2006-12-11
1154427318 Gary P Dackor Dc Inc Chiropractor 1701 North Sandhills Blvd. Suite D, Aberdeen, NC 28315 2006-09-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487292900 Wisdom Health Care Services Community/Behavioral Health 136 S Philadelphia Blvd Ste D, Aberdeen, MD 21001-3203 2019-12-16
1518438050 Ymca of Greater Monmouth County Community/Behavioral Health 401 Lloyd Rd, Aberdeen, NJ 07747-1894 2018-12-10
1952872491 Ymca of Greater Monmouth County Community/Behavioral Health 282 Church St, Aberdeen, NJ 07747-1520 2018-12-10
1144723057 Bsocial Community/Behavioral Health 80 Bradford Ct, Aberdeen, NJ 07747-1859 2018-03-16
1528453263 Light House Professional Counseling Community/Behavioral Health 1315 N Sandhills Blvd, Aberdeen, NC 28315-2211 2015-03-31
1154715712 Mk Behavioral Services Community/Behavioral Health 6711 Olympic Hwy, Aberdeen, WA 98520-5722 2015-03-22
1669810651 Monarch Community/Behavioral Health 715 E South St, Aberdeen, NC 28315-3400 2013-06-12
1952643421 Advocate Health Services,llc Community/Behavioral Health 37 North Philadelphia Blvd, Aberdeen, MD 21001 2013-03-22
1124380472 Community Helps Network Aberdeen Community/Behavioral Health 1319 N Sandhills Blvd, Aberdeen, NC 28315-2211 2012-06-12
1124396932 Catholic Community Services of Western Washington Community/Behavioral Health 224 E Wishkah St, Aberdeen, WA 98520-6513 2011-12-07
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Competitor

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City ABERDEEN
Zip Code 28315

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Dataset Information

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.

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