CAROLINA RESIDENTIAL SERVICES
NPI 1124393962
Community/Behavioral Health in Fayetteville, NC

Active since March 13, 2012
1014 HAY ST, FAYETTEVILLE, NC 28305(910) 920-2891(910) 920-2756 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Residential Services NPPES

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

CAROLINA RESIDENTIAL SERVICES (NPI 1124393962) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since March 2012. The organization lists Susan M Kincaid, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1124393962
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCAROLINA RESIDENTIAL SERVICES
Location Address1014 HAY STFayetteville, NC 28305-5316
Mailing AddressPo Box 286Rutherford College, NC 28671-0286 · (828) 572-2333 · Fax (980) 225-0500
Fax(910) 920-2756
Organization SubpartNo
Authorized OfficialSusan M KincaidDirector/owner · (828) 413-3786
Enumeration DateMarch 13, 2012
NPI 1124393962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · MHL-026-837
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1014 HAY ST, Fayetteville, NC 28305

Other Identifiers 1

Medicaid8303428SNC

Other Providers at the Same Location NPPES 9

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

Community/Behavioral Health
1014 HAY ST
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
1014 HAY ST
FAYETTEVILLE, NC 28305
Psychiatry & Neurology (Addiction Psychiatry)
1014 HAY ST
FAYETTEVILLE, NC 28305
In Home Supportive Care
1014 HAY ST
FAYETTEVILLE, NC 28305
Preferred Provider Organization
1014 HAY ST
FAYETTEVILLE, NC 28305
Community/Behavioral Health
1014 HAY ST
FAYETTEVILLE, NC 28305
Community/Behavioral Health
1014 HAY ST
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
1014 HAY ST
FAYETTEVILLE, NC 28305

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's NPI number?

The NPI number for Carolina Residential Services is 1124393962. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Carolina Residential Services located?

Carolina Residential Services is located at 1014 Hay St, Fayetteville, NC 28305. The listed phone number is (910) 920-2891.

What is Carolina Residential Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Carolina Residential Services was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.