Martin County Residential Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-058-002 Issued in NC

Legal business name

MARTIN COUNTY RESIDENTIAL SERVICES

Doing business as

Martin Enterprises

Practice address

6003 W. Main Street
Williamston, NC 27892

Phone

(252) 792-8251

Fax

(252) 792-5283

NPI assigned

Aug 7, 2008

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charlene Ward

Title

Program Services Manager

Phone

(252) 792-8251

Specialties & licenses 1

Addresses

Other names 1

• Martin Enterprises Doing business as

Tax ID family

Martin County Residential Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Martin County Residential Services Inc.

  dba Martin Enterprises

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Williamston, NC
  • NPI 1124168141
  NPD tax ID

Locations

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1578719712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 W MAIN STREET EXT",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278929589",
            "telephone_number": "252-792-8251",
            "fax_number": "252-792-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 W. MAIN STREET",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "27892",
            "telephone_number": "252-792-8251",
            "fax_number": "252-792-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN COUNTY RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PROGRAM SERVICES MANAGER",
        "authorized_official_telephone_number": "252-792-8251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-058-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Enterprises",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loveworks Professional Counseling P.L.L.C
• Gloria J Lyznicki, RRT, RCP
• Steven Mark Manning, M.D.
• Mark J. Marquardt
• Martin County DSS
• Martin County Residential Services Inc. (Martin Enterprises)
• Martin County Schools
• Martin Emergency Group LLC
• Martin General Emergency Physicians
• Martin Hospitalists Inc

• Community/Behavioral Health Agency in Williamston, NC
• Providers in Williamston, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.