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CAROLINA RESIDENTIAL SERVICES, INC.
NPI 1063544518
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Elkin, NC

Active since March 11, 2007
534 ELK SPUR ST, ELKIN, NC 28621(336) 835-1101(336) 835-1101 Get Directions Write a Review

NPPES record last updated: July 20, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carolina Residential Services, Inc. NPPES

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

CAROLINA RESIDENTIAL SERVICES, INC. (NPI 1063544518) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Elkin, North Carolina and active in the NPI registry since March 2007. The organization lists Susan M Kincaid, Director, as its authorized official.

NPPES Registry Identity

NPI1063544518
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCAROLINA RESIDENTIAL SERVICES, INC.
Location Address534 ELK SPUR STElkin, NC 28621-3206
Mailing AddressPo Box 286Rutherford College, NC 28671-0286 · (828) 572-2333 · Fax (980) 225-0500
Phone(336) 835-1101
Fax(336) 835-1101
Organization SubpartNo
Authorized OfficialSusan M KincaidDirector · (828) 572-2333
Enumeration DateMarch 11, 2007
Last NPPES UpdateJuly 20, 2013
✔ NPI 1063544518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in NC · MHL 086038
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
534 ELK SPUR ST, Elkin, NC 28621
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Other Identifiers 2

Medicaid7805081NC
Medicaid7806599NC

Other Providers at the Same Location NPPES

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

KREATIVE KARE HOMES
Day Training, Developmentally Disabled Services
534 ELK SPUR ST
ELKIN, NC 28621
Surry County (704) 241-5709

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 Carolina Residential Services, Inc.'s NPI number?

The NPI number for Carolina Residential Services, Inc. is 1063544518. It was assigned to this organization in the NPPES registry on March 11, 2007.

Where is Carolina Residential Services, Inc. located?

Carolina Residential Services, Inc. is located at 534 Elk Spur St, Elkin, NC 28621. The listed phone number is (336) 835-1101.

What is Carolina Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Carolina Residential Services, Inc. was last updated on July 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.