RESIDENTIAL SUPPORT SERVICES (NPI# 1396177549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396177549 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL SUPPORT SERVICES |
| Practice Address |
3416 Atlantic Ave Raleigh NC 27604-1643 |
| Mailing Address |
Po Box 98476 Raleigh NC 27624-8476 |
| Practice Telephone | 9197871214 |
| Practice Fax Number | 9197873416 |
| Mailing Telephone | 9197871214 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | SUSAN MURRAY (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 9197871214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-092-474 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300856B | 05 | |
| NC | 7804510 | 05 | |
| NC | 8702203 | 05 | |
| NC | 3418153 | 05 | |
| NC | 7804508 | 05 | |
| NC | 7804509 | 05 | |
| NC | 8300856 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215143227 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2024 3rd Ave N, Billings, MT 59101-2210 | 2007-05-15 |
| 1558587584 | Residential Support Services | Custodial Care Facility | 100 Bellingham St, Chelsea, MA 02150-3358 | 2007-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RESIDENTIAL SUPPORT SERVICES LLC | 91 Chestnut Avenue, East Setauket, Ny 11733 |
| Connecticut Business Registrations | RESIDENTIAL SUPPORT SERVICES, INC. | 584 West Hill Road, New Hartford, CT 06057 |
| Street Address |
3416 ATLANTIC AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1366983256 | C Walker Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3925 Falls River Ave, Raleigh, NC 27614-7413 | 2017-03-13 |
| 1427429018 | Falonna Graham | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2224 Valley Edge Dr Unit 102, Raleigh, NC 27614-7363 | 2015-10-08 |
| 1871919548 | Tlc Operations, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1931 Melrose Valley Cir, 1511, Raleigh, NC 27603-6060 | 2014-03-05 |
| 1922430172 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 408 Hailey Dr, Raleigh, NC 27606-2429 | 2013-07-30 |
| 1598197741 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 E Millbrook Rd, Raleigh, NC 27609-4473 | 2013-07-30 |
| 1053750828 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6201 Battle Bridge Rd, Raleigh, NC 27610-6201 | 2013-06-14 |
| 1730460452 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3316 Barker Pl, Raleigh, NC 27604-2454 | 2011-09-08 |
| 1558691360 | Summit Hills, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7213 Sextons Creek Dr, Raleigh, NC 27614-7198 | 2009-12-30 |
| 1356588578 | Enoc Eduardo Madero | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6036 Brambleberry Way, Raleigh, NC 27616-6618 | 2009-01-09 |
| Find all providers in RALEIGH | ||||
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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.