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Carolina Residential Services, Inc.

Organization Active NPI Community/Behavioral Health Agency · Warsaw, NC

NPI 1982979886 · NPPES record last updated Mar 12, 2012

Key facts

NPI
1982979886
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
MHL-031-016 (NC)
Legal business name
CAROLINA RESIDENTIAL SERVICES, INC.
Practice address
103 S Front St
Warsaw, NC 28398-1832
Phone
(910) 293-4263
Fax
(910) 293-4253
NPI assigned
Mar 12, 2012
Organization subpart
No

Authorized official

Name
Susan M Kincaid
Title
Director/Owner
Phone
(828) 413-3786

Corporate family (same tax ID) 41

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

View all 41

National Provider Directory

Tax ID family
Carolina Residential Services Inc (42 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-031-016 NC Yes

Addresses

Primary practice location

103 S Front St
Warsaw, NC 28398-1832

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
8303426SMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2012.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1982979886",
    "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": "103 S FRONT ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283981832",
            "telephone_number": "910-293-4263",
            "fax_number": "910-293-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "828-413-3786"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-031-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303426S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NC

All providers in Warsaw, NC · Community/Behavioral Health Agency in North Carolina

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