RESIDENTIAL SUPPORT SERVICES OF WAKE COUNTY, INC. (NPI# 1922430172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922430172 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL SUPPORT SERVICES OF WAKE COUNTY, INC. |
| Practice Address |
408 Hailey Dr Raleigh NC 27606-2429 |
| Mailing Address |
Po Box 98476 Raleigh NC 27624-8476 |
| Practice Telephone | 9197871214 |
| Practice Fax Number | 9197873416 |
| Mailing Telephone | 9197871214 |
| Mailing Fax Number | 9197873416 |
| 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-092-473 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300856B | 05 | |
| NC | 7804509 | 05 | |
| NC | 3418153 | 05 | |
| NC | 7804510 | 05 | |
| NC | 8702203 | 05 | |
| NC | 7804508 | 05 | |
| NC | 8300856 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1730380817 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Wind Chime Ct, Suite 101, Raleigh, NC 27615-6481 | 2007-05-29 |
| Street Address |
408 HAILEY DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27606-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1083250831 | The Lee Way Therapy & Consulting, Pllc | Social Worker | 4909 Waters Edge Dr., Suite 200a, Raleigh, NC 27606 | 2019-11-26 |
| 1811455488 | Inimfon E Ubom | Student in an Organized Health Care Education/Training Program | 521 The Greens Cir Apt 242, Raleigh, NC 27606 | 2019-03-03 |
| 1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
| 1801348891 | John Riel Manalansan Garcia | Specialist/Technologist | 2411 Dunn Ave, Raleigh, NC 27606 | 2016-10-26 |
| 1134599889 | Klingensmith & Associates, Pllc | Dentist | 1009 Capability Dr., Bldg. II. Ste 100, Raleigh, NC 27606 | 2015-10-06 |
| 1487038626 | Turning Leaf Therapy Services, Pllc | Social Worker | 4909 Waters Edge Drive 200d, Raleigh, NC 27606 | 2015-07-17 |
| 1528448743 | Ashley Francis Wright | Counselor | 1601 Jones Franklin Road, Suite 104, Raleigh, NC 27606 | 2015-06-03 |
| 1598172645 | Amalya Kali Wright | Emergency Medical Technician, Basic | 5315 Dana Dr Apt F, Raleigh, NC 27606 | 2014-07-21 |
| 1710312566 | Deirdre Rushin | Counselor | 1821 Avent Ridge Rd, Apt 104, Raleigh, NC 27606 | 2013-09-12 |
| Find all providers in zip 27606 | ||||
| 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 |
| 1396177549 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3416 Atlantic Ave, Raleigh, NC 27604-1643 | 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.