CAROLINA RESIDENTIAL SERVICES, INC (NPI# 1407999212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407999212 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC |
| Practice Address |
2037 Connelly Springs Rd Lenoir NC 28645-7830 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 8285722333 |
| Practice Fax Number | 9802250500 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-05-02 |
| 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 |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409122 | 05 | |
| NC | 3419151 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 247 Commercial Ct Ne, Lenoir, NC 286454451 | 8284133786 | 9802250500 |
| 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 |
| 1104969989 | Carolina Residential Services, Inc | Community/Behavioral Health | 307 Giddens St, Clinton, NC 28328-3413 | 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 |
| Street Address |
2037 CONNELLY SPRINGS RD |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154705168 | Turning Point Services, Inc. | Community/Behavioral Health | 713 Severt Cir, Lenoir, NC 28645-8229 | 2015-07-20 |
| 1295118271 | Turning Point Services, Inc. | Community/Behavioral Health | 434 Virginia St Sw, Lenoir, NC 28645-5334 | 2015-07-08 |
| 1396022356 | Stixx | Community/Behavioral Health | 602 Morganton Blvd Sw, Suite B, Lenoir, NC 28645-5823 | 2011-11-04 |
| 1134400757 | Focus Behavioral Health Services, LLC | Community/Behavioral Health | 332 Greenhaven Dr Nw, Lenoir, NC 28645-3613 | 2011-09-09 |
| 1043512957 | Focus Behavioral Health Services, LLC | Community/Behavioral Health | 144 Tremont Park Dr Ne, Lenoir, NC 28645-4642 | 2010-11-29 |
| 1447482344 | Premier Support Services, Inc. | Community/Behavioral Health | 227 Main St Nw, Lenoir, NC 28645-5124 | 2009-08-11 |
| 1114161221 | Change Home Care, LLC | Community/Behavioral Health | 416 Finley Ave Nw, Lenoir, NC 28645-4219 | 2009-04-21 |
| 1700029717 | Cnc / Access, Inc. | Community/Behavioral Health | 606 College Ave Sw, Lenoir, NC 28645-5403 | 2009-04-07 |
| 1568601458 | Walkers Group Home/walkers Intensive In Home Service | Community/Behavioral Health | 309 Main St Nw, Lenoir, NC 28645-5270 | 2009-02-17 |
| 1659532562 | New River Service Authority | Community/Behavioral Health | 2415 Morganton Blvd Sw, Lenoir, NC 28645-9691 | 2008-06-23 |
| Find all providers in LENOIR | ||||
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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.