CAROLINA RESIDENTIAL SERVICES, INC. (NPI# 1619242518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619242518 |
| Entity Type | Organization |
| Organization Name | CAROLINA RESIDENTIAL SERVICES, INC. |
| Practice Address |
714 Simmons St Goldsboro NC 27530-3843 |
| Mailing Address |
Po Box 286 Rutherford College NC 28671-0286 |
| Practice Telephone | 9195800020 |
| Practice Fax Number | 9195800026 |
| Mailing Telephone | 8285722333 |
| Mailing Fax Number | 9802250500 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Authorized Official Name | SUSAN M KINCAID (DIRECTOR/OWNER) |
| Authorized Official Telephone | 8284133786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-096-005 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8303429S | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629343512 | Carolina Residential Services, Inc. | Community/Behavioral Health | 204 Avery Ave, Morganton, NC 28655-3103 | 2012-03-12 |
| 1982805933 | Carolina Residential Services, Inc. | Day Training, Developmentally Disabled Services | 126 Commercial Rd, Ahoskie, NC 27910-9469 | 2007-05-29 |
| 1770705956 | Carolina Residential Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 314 East Westbrook Street, Wallace, NC 28466-1533 | 2007-05-03 |
| 1265652754 | Carolina Residential Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2302 Lewis Thomas Rd, Asheboro, NC 27205-1501 | 2007-04-26 |
| 1235261686 | Carolina Residential Services, Inc. | Case Management | 504 E Union St, Morganton, NC 28655-3456 | 2007-03-12 |
| 1053443408 | Carolina Residential Services, Inc. | Case Management | 641 W Main Ave, Taylorsville, NC 28681-2327 | 2007-03-12 |
| 1740312198 | Carolina Residential Services, Inc. | Community/Behavioral Health | 145 N Gilmer St, Mount Airy, NC 27030-3842 | 2007-03-12 |
| 1144352691 | Carolina Residential Services, Inc. | Community/Behavioral Health | 1014 Hay St, Fayetteville, NC 28305-5316 | 2007-03-11 |
| 1427180975 | Carolina Residential Services, Inc. | Community/Behavioral Health | 130 Williams St, Boonville, NC 27011-9300 | 2007-03-11 |
| 1063544518 | Carolina Residential Services, Inc. | Community/Behavioral Health | 534 Elk Spur St, Elkin, NC 28621-3206 | 2007-03-11 |
| Street Address |
714 SIMMONS ST |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| 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 |
|---|---|---|---|---|
| 1962040782 | Monarch | Community/Behavioral Health | 2717 Isaac Dr, Goldsboro, NC 27530-8120 | 2019-12-11 |
| 1659837383 | Building Healthy Minds, LLC | Community/Behavioral Health | 515 N George St, Goldsboro, NC 27530-2724 | 2019-02-19 |
| 1588027833 | Kaleo Supports, Inc. | Community/Behavioral Health | 300 Autumn Winds Dr, Goldsboro, NC 27530-2506 | 2016-04-04 |
| 1538589593 | Uloanda Parham | Community/Behavioral Health | 608 N Madison Ave, Goldsboro, NC 27530-3100 | 2014-04-17 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1326342460 | Laychris Group, Inc | Community/Behavioral Health | 206 W Ash St Ste 2, Goldsboro, NC 27530-3663 | 2011-01-04 |
| 1750684015 | Nova-ic, Inc. | Community/Behavioral Health | 1216 North Dr, Goldsboro, NC 27534-1858 | 2010-12-08 |
| 1831490002 | Family Connections of Goldsboro, LLC | Community/Behavioral Health | 701 E Ash St, Goldsboro, NC 27530-3801 | 2010-11-04 |
| 1629387220 | Bridges of Hope Inc | Community/Behavioral Health | 201 W Ash St Ste 1, Goldsboro, NC 27530-3665 | 2010-09-29 |
| 1043547276 | Progressive Healthcare & Counseling Services Inc. | Community/Behavioral Health | 217 N George St, Goldsboro, NC 27530-3626 | 2009-11-09 |
| Find all providers in GOLDSBORO | ||||
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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.