Tarheel Residential Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

TARHEEL RESIDENTIAL SERVICES

Practice address

4840 Quarryman Road
Raleigh, NC 27610

Phone

17042449069

NPI assigned

Jul 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Connie Yvette Omari, LPC

Title

Clinical Director

Phone

(704) 244-9069

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501286400000",
    "number": "1891219093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 QUARRYMAN ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "17042449069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 QUARRYMAN ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "17042449069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-29",
        "last_updated": "2017-07-29",
        "status": "A",
        "authorized_official_last_name": "OMARI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-244-9069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Taormina, DPT
• Paul Tarangelo, PA
• Mara C Taranhike, MSW, LCSWA
• Target Pharmacy
• Targeted Motion, Inc.
• Tarheels Home Healthcare Services, LLC.
• Muhammad Fawad Tariq, MD
• W Henry Tarkington, LCSW, LCAS
• Matthew Jackson Tarlton
• Michael Alexander Tarnovetchi, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2017; 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.