Carolina Residential Services, Inc in Rutherford College - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Carolina Residential Services, Inc - NPI 1811030463
Carolina Residential Services, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Rutherford College, 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 1811030463. The last update date is 2013-07-20.
Carolina Residential Services, Inc's current location address is Po Box 286, Rutherford College, North Carolina. You can contact this provider via phone number 8285722333 and fax number 9802250500. The mailing address for Carolina Residential Services, Inc is Po Box 286, Rutherford College, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Residential Services, Inc |
|---|---|
| Address | Po Box 286, Rutherford College, North Carolina |
| Phone Number | 8285722333 |
| Fax Number | 9802250500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kincaid M Susan |
| Telephone Number | 8285722333 |
NPI Number Detail
| NPI Number | 1811030463 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2013-07-20 |
Provider Mailing Address Detail
| Address | Po Box 286 |
|---|---|
| City | Rutherford College |
| State | North Carolina (NC) |
| Post Code | 286710286 |
| Phone Number | 8285722333 |
| Fax Number | 9802250500 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | MHL-049-064 |
|
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 |
|---|---|---|---|
| 7803402 | NC | -- | |
| 7806600 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Carolina Residential Services, Inc?
The Carolina Residential Services, Inc has been issued the NPI (National Provider Identifier) 1811030463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Carolina Residential Services, Inc is physically located?
The Carolina Residential Services, Inc is physically situated at the following address: Po Box 286, Rutherford College, NC, 286710286.
What is Carolina Residential Services, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carolina Residential Services, Inc's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811030463 to Carolina Residential Services, Inc?
The Centers for Medicare & Medicaid Services assigned the 1811030463 to Carolina Residential Services, Inc on 2007-02-14.
As of what date was the information pertaining to Carolina Residential Services, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolina Residential Services, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-20.