Carolina Residential Services, Inc in Jacksonville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carolina Residential Services, Inc - NPI 1588707236
Carolina Residential Services, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, North Carolina. Carolina Residential Services, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Carolina Residential Services, Inc is 1588707236. The last update date is 2013-07-20.
Carolina Residential Services, Inc's current location address is 324 Pine Valley Rd, Jacksonville, North Carolina. You can contact this provider via phone number 9103531415 and fax number 9103531415. The mailing address for Carolina Residential Services, Inc is 324 Pine Valley Rd, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Residential Services, Inc |
|---|---|
| Address | 324 Pine Valley Rd, Jacksonville, North Carolina |
| Phone Number | 9103531415 |
| Fax Number | 9103531415 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kincaid M Susan |
| Telephone Number | 8285722333 |
NPI Number Detail
| NPI Number | 1588707236 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2013-07-20 |
Provider Mailing Address Detail
| Address | 324 Pine Valley Rd |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285467784 |
| Phone Number | 9103531415 |
| Fax Number | 9103531415 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | MHL-067-102 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804291 | NC | -- | |
| 7806596 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carolina Residential Services, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Carolina Residential Services, Inc has been assigned the NPI (National Provider Identifier) 1588707236. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Carolina Residential Services, Inc's facilities are geographically located?
The facilities of Carolina Residential Services, Inc are physically situated at the following location: 324 Pine Valley Rd, Jacksonville, NC, 285467784.
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, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
When did the Carolina Residential Services, Inc receive its 1588707236?
The Carolina Residential Services, Inc was issued its 1588707236 on 2007-02-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Carolina Residential Services, Inc last refreshed?
The information related to the Carolina Residential Services, Inc, including its address, specialty, and other relevant details, was last updated on 2013-07-20.