NPIMap

Organization Active NPI

Carolina Residential Services, Inc

  • Community/Behavioral Health Agency
  • Lenoir, NC
National Provider Identifier
1407999212
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA RESIDENTIAL SERVICES, INC
Practice address
247 Commercial CT NE
Lenoir, NC 28645-4451
Phone
(828) 413-3786
Fax
(980) 225-0500
NPI assigned
Feb 14, 2007
Last updated
Sep 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan M Kincaid
Title
Director
Phone
(828) 572-2333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X
In Home Supportive Care Agency 253Z00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

247 Commercial CT NE
Lenoir, NC 28645-4451

Mailing address

PO Box 286
Rutherford College, NC 28671-0286
Phone (828) 572-2333

Other practice location 1

3100 Hwy 226 S
Marion, NC 28752-8741
Phone (828) 659-6480

Other practice location 2

1524 Arlington Ave
Statesville, NC 28677-3550
Phone (828) 572-2333

Other practice location 3

1522 Arlington Ave
Statesville, NC 28677-3550
Phone (828) 572-2333

Other practice location 4

804 Hunter St
Statesville, NC 28677-3530
Phone (704) 883-0850

Other practice location 5

730 N Mulberry St
Statesville, NC 28677-3233
Phone (704) 883-0647

Other practice location 6

68 Pop Davis Rd
Taylorsville, NC 28681-2680
Phone (828) 352-9560

Other practice location 7

247 Commercial Ct NE
Lenoir, NC 28645-4451
Phone (828) 757-5710

Other practice location 8

1518 Arlington Ave
Statesville, NC 28677-3550
Phone (828) 572-2333

Other practice location 9

1520 Arlington Ave
Statesville, NC 28677-3550
Phone (828) 572-2333

Other practice location 10

2037 Connelly Springs Rd
Lenoir, NC 28645-7830
Phone (828) 572-2333

Other identifiers 2

IdentifierTypeStateIssuer
3419151MedicaidNC
3409122MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Residential Services Inc42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

730 N Mulberry St
Statesville, NC 28677
Phone (704) 883-0647

804 Hunter St
Statesville, NC 28677
Phone (704) 883-0850

68 Pop Davis Rd
Taylorsville, NC 28681
Phone (828) 352-9560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789862400000",
    "number": "1407999212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710286",
            "telephone_number": "828-572-2333",
            "fax_number": "980-225-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 COMMERCIAL CT NE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454451",
            "telephone_number": "828-413-3786",
            "fax_number": "980-225-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Hwy 226 S",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287528741",
            "country_code": "US",
            "telephone_number": "828-659-6480",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773550",
            "country_code": "US",
            "telephone_number": "828-572-2333",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1522 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773550",
            "country_code": "US",
            "telephone_number": "828-572-2333",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Hunter St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773530",
            "country_code": "US",
            "telephone_number": "704-883-0850",
            "fax_number": "704-873-9502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 N Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773233",
            "country_code": "US",
            "telephone_number": "704-883-0647",
            "fax_number": "704-873-4458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Pop Davis Rd",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "NC",
            "postal_code": "286812680",
            "country_code": "US",
            "telephone_number": "828-352-9560",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Commercial Ct NE",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286454451",
            "country_code": "US",
            "telephone_number": "828-757-5710",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1518 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773550",
            "country_code": "US",
            "telephone_number": "828-572-2333",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773550",
            "country_code": "US",
            "telephone_number": "828-572-2333",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2037 Connelly Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286457830",
            "country_code": "US",
            "telephone_number": "828-572-2333",
            "fax_number": "980-225-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-572-2333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419151",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.