Surry Residential Services Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

MHL-086-020 Issued in NC

Legal business name

SURRY RESIDENTIAL SERVICES INC

Practice address

1305 Park Dr
Mount Airy, NC 27030

Phone

(336) 789-6697

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Joshua Denny

Title

Executive Director

Phone

(336) 719-0062

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Surry-Yadkin Residential Services Inc2 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.

• Surry Residential Services Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Mount Airy, NC
  • NPI 1528173069
  NPD tax ID

Locations

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1861745069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 N RENFRO ST STE 104",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303880",
            "telephone_number": "336-719-0062",
            "fax_number": "336-719-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PARK DR",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-789-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURRY RESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "DENNY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-719-0062"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-086-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340609B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surry Regional Health Services, Inc. (DBA: Northern Medical Group Primary Care)
• Surry Regional Health Services, Inc. (Hospitalists of Mount Airy)
• Surry Regional Health Services, Inc. (Northern Gastroenterology)
• Surry Regional Health Services, Inc. (Surry Surgical Associates)
• Surry Residential Services Inc
• Sydney S Schenk, DDS, PLLC
• Talon Nutrition
• Nancy Taylor
• The Ac Group Inc. (AC Group Inc)
• The Calming Center of Mount Airy

• Intellectual Disabilities Intermediate Care Facility in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Intellectual Disabilities Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.