PREMIER SERVICE OF CAROLINA, INC
NPI 1053637710
Psychiatric Residential Treatment Facility in Albemarle, NC

Active since April 20, 2010CLIA 34D2162706 · Waiver
109 PENNY ST, ALBEMARLE, NC 28001(704) 985-1178(704) 985-0106 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Service Of Carolina, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER SERVICE OF CAROLINA, INC (NPI 1053637710) is a healthcare organization registered as a psychiatric residential treatment facility in Albemarle, North Carolina and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Warner Leak, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1053637710
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NamePREMIER SERVICE OF CAROLINA, INC
Location Address109 PENNY STAlbemarle, NC 28001
Mailing Address109 Penny StAlbemarle, NC 28001-2803 · (704) 985-1178 · Fax (704) 985-0106
Fax(704) 985-0106
Organization SubpartNo
Authorized OfficialWarner LeakPresident/ceo · (704) 985-1189
Enumeration DateApril 20, 2010
Last NPPES UpdateAugust 14, 2018
NPI 1053637710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
109 PENNY ST, Albemarle, NC 28001

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2162706

Premier Service Of Carolina, Inc · Albemarle, NC
Active · expires Feb 27, 2027
CLIA Number34D2162706
Laboratory TypePrtf
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorWarner Leak
Laboratory Phone(704) 985-1189
Laboratory LocationPremier Service Of Carolina, Inc109 Penny Street, Albemarle, NC 28001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
109 PENNY ST
ALBEMARLE, NC 28001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Service Of Carolina, Inc's NPI number?

The NPI number for Premier Service Of Carolina, Inc is 1053637710. It was assigned to this organization in the NPPES registry on April 20, 2010.

Where is Premier Service Of Carolina, Inc located?

Premier Service Of Carolina, Inc is located at 109 Penny St, Albemarle, NC 28001. The listed phone number is (704) 985-1178.

What is Premier Service Of Carolina, Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Premier Service Of Carolina, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2162706) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Service Of Carolina, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Premier Service Of Carolina, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Service Of Carolina, Inc was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.