Carolina Residential Services, Inc.

LBN: Carolina Residential Services, Inc.
Carolina Residential Services, Inc. is an health care organization with primary practice located at 714 Simmons St , Goldsboro NC 27530-3843. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Carolina Residential Services, Inc. can be contacted via phone (919) 580-0020, or through Kincaid, Susan M via phone (828) 413-3786.

Contact Information

Primary practice address
714 Simmons St Goldsboro NC 27530-3843
Phone: (919) 580-0020
Fax: (919) 580-0026
Website:
Map and Directions
Authorized official contact:
Name: Kincaid, Susan M
Phone: (828) 413-3786

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL-096-005 North Carolina

Profile Details

NPI number 1619242518
LBN Legal business name Carolina Residential Services, Inc.
DBA Doing business as
Authorized official Kincaid, Susan M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2012
Last updated Mar 12th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619242518 NPPES
North Carolina MEDICAID 8303429S

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