Carolina Residential Care, Inc. in Greensboro - Community Based Residential Treatment Facility, Mental Illness
Carolina Residential Care, Inc. - NPI 1588758460
Carolina Residential Care, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Greensboro, North Carolina. Carolina Residential Care, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Carolina Residential Care, Inc. is 1588758460. The last update date is 2012-02-27.
Carolina Residential Care, Inc.'s current location address is 1505 W Friendly Ave, Greensboro, North Carolina. You can contact this provider via phone number 3362731782 and fax number 3362733684. The mailing address for Carolina Residential Care, Inc. is 1505 W Friendly Ave, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Residential Care, Inc. |
|---|---|
| Address | 1505 W Friendly Ave, Greensboro, North Carolina |
| Phone Number | 3362731782 |
| Fax Number | 3362733684 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER & DI |
|---|---|
| Authorized Official Name | Whitley Mckeithan Carol |
| Telephone Number | 3362724037 |
NPI Number Detail
| NPI Number | 1588758460 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2012-02-27 |
Provider Mailing Address Detail
| Address | 1505 W Friendly Ave |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274031206 |
| Phone Number | 3362731782 |
| Fax Number | 3362733684 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL-041-057 |
|
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 |
|---|---|---|---|
| 3408872 | NC | -- |
Post Comment/ Review Below
What is the Carolina Residential Care, Inc.'s 1588758460?
The Carolina Residential Care, Inc.'s NPI (National Provider Identifier) Number is 1588758460. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carolina Residential Care, Inc. is physically located?
The Carolina Residential Care, Inc. is physically situated at the following address: 1505 W Friendly Ave, Greensboro, NC, 274031206.
What is Carolina Residential Care, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carolina Residential Care, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588758460 to Carolina Residential Care, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1588758460 to Carolina Residential Care, Inc. on 2006-10-03.
When was the Carolina Residential Care, Inc.'s information last updated?
The Carolina Residential Care, Inc.'s information was last updated on 2012-02-27.
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