Residence Care Services LLC
Organization Active NPI Assisted Living Facility · Spencer, NC
NPI 1124795232 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1124795232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- RESIDENCE CARE SERVICES LLC
- Practice address
- 102 Anne St
Spencer, NC 28159-1800 - Phone
- (704) 633-5212
- NPI assigned
- Aug 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Eliezer Klein, LNHA
- Title
- Mr
- Phone
- (347) 546-4877
National Provider Directory
Locations
1815 Lakewood Rd
Toms River, NJ 08755
Phone (646) 401-3137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
102 Anne St
Spencer, NC 28159-1800
Mailing address
1815 Lakewood Rd
Toms River, NJ 08753
Phone (347) 546-4877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Medicaid | NC |
Other names
- Bethamy Retreat
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TomsRiver |
Other providers in Spencer, NC
- Robyn Lynne Olsen-Nicotra
- Angie D Padon
- Elizabeth Queen
- Donald Floyd Rankin
- Residence Care Service LLC
- Elizabeth Denise Reynolds
- Rowan Diagnostic Clinic
- Samuel Dastrup DDS PLLC
- Holly Anne Smith
- Sonshine Community Outreach Services
All providers in Spencer, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.