NC Residential Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NC RESIDENTIAL SERVICES, INC.

Practice address

3314 Wiliton Way
High Point, NC 27260-5983

Phone

(336) 510-7464

Fax

(336) 510-7985

NPI assigned

Feb 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Antoine J Pryor

Title

President

Phone

(336) 253-0318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234656000000",
    "number": "1902045941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272820446",
            "telephone_number": "336-510-7464",
            "fax_number": "336-510-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 WILITON WAY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605983",
            "telephone_number": "336-510-7464",
            "fax_number": "336-510-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-15",
        "last_updated": "2009-02-15",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-253-0318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in High Point, 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 Feb 15, 2009; 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.