Carolina Residential Services, Inc in Garner - Community Based Residential Treatment Facility, Mental Illness
Carolina Residential Services, Inc - NPI 1316080039
Carolina Residential Services, Inc is a Community Based Residential Treatment Facility, Mental Illness in Garner, North Carolina. Carolina Residential Services, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Carolina Residential Services, Inc is 1316080039. The last update date is 2020-08-22.
Carolina Residential Services, Inc's current location address is 1202 Benson Rd, Garner, North Carolina. You can contact this provider via phone number 9196627873 and fax number 9196627879. The mailing address for Carolina Residential Services, Inc is 1202 Benson Rd, Garner, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Residential Services, Inc |
|---|---|
| Address | 1202 Benson Rd, Garner, North Carolina |
| Phone Number | 9196627873 |
| Fax Number | 9196627879 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Wilson Derek |
| Telephone Number | 9196627873 |
NPI Number Detail
| NPI Number | 1316080039 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1202 Benson Rd |
|---|---|
| City | Garner |
| State | North Carolina (NC) |
| Post Code | 275294648 |
| Phone Number | 9196627873 |
| Fax Number | 9196627879 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL-076-056 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804135 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carolina Residential Services, Inc by the Centers for Medicare & Medicaid Services?
The Carolina Residential Services, Inc has been assigned the NPI (National Provider Identifier) 1316080039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Carolina Residential Services, Inc?
The Carolina Residential Services, Inc is situated at 1202 Benson Rd, in the city of Garner, state of NC, with the zip code 275294648.
What is Carolina Residential Services, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carolina Residential Services, Inc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
On what date did the Carolina Residential Services, Inc receive its 1316080039 assignment from the Centers for Medicare & Medicaid Services?
The Carolina Residential Services, Inc was assigned its 1316080039 by the Centers for Medicare & Medicaid Services on 2007-02-14.
When was the information related to Carolina Residential Services, Inc most recently updated or refreshed?
The details pertaining to the Carolina Residential Services, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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