CAROLINA SUPPORT SERVICES, INC. (NPI# 1912084161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912084161 |
| 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 | 2006-11-01 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | KAREN HESTER SPRUILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2527522002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL074170 | NC | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5914580 | 05 | |
| NC | 6006720 | 05 | |
| NC | 3418550 | 05 |
| Street Address |
925D CONFERENCE DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-5971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194992347 | Carolina Support Services Inc | Community Based Residential Treatment Facility, Mental Illness | 925d Conference Dr, Greenville, NC 27858-5971 | 2008-05-15 |
| 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 | 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] |
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| 1114549532 | Uniquely Me LLC | Community/Behavioral Health | 2409 Charles Blvd, Greenville, NC 27858-5925 | 2020-05-07 |
| 1043841406 | Gibbs Treatment Solutions | Community/Behavioral Health | 8757 Rufing Rd, Greenville, IN 47124-9649 | 2020-02-03 |
| 1558911677 | Positive Innergy Medical Group | Community/Behavioral Health | 26 Potomac Ave, Greenville, SC 29605-2118 | 2019-09-19 |
| 1831651850 | Nick Comai, LLC | Community/Behavioral Health | 1202 Tamarack Ct, Greenville, MI 48838-2597 | 2019-04-01 |
| 1285111906 | Cornerstone Senior Care and Assisted Living,llc | Community/Behavioral Health | 3900 Joe Ramsey Blvd E Bldg 10a, Greenville, TX 75401-7727 | 2018-07-25 |
| 1295234565 | Krystle Shields | Community/Behavioral Health | 3116 Noah Ct, Greenville, NC 27834-6239 | 2018-02-01 |
| 1639697642 | Stigma Inc. | Community/Behavioral Health | 815 E Butler Rd Apt 228, Greenville, SC 29607-5870 | 2017-08-30 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| 1821514266 | Idella Care Homes | Community/Behavioral Health | 870 Spring Forest Rd, Greenville, NC 27834 | 2017-08-17 |
| 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.