WILSON COUNTY RESIDENTIAL SERVICES, INC
NPI 1346370160
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilson, NC

Active since March 07, 2007
1300 GOLD ST N, WILSON, NC 27893(252) 237-4778(252) 206-1681 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilson County Residential Services, Inc NPPES

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

WILSON COUNTY RESIDENTIAL SERVICES, INC (NPI 1346370160) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Wilson, North Carolina and active in the NPI registry since March 2007. The organization lists Gale Puevis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346370160
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWILSON COUNTY RESIDENTIAL SERVICES, INC
Location Address1300 GOLD ST NWilson, NC 27893-2302
Mailing Address115 B West Hines StWilson, NC 27893-3924 · (252) 237-4778 · Fax (252) 206-1681
Fax(252) 206-1681
Organization SubpartNo
Authorized OfficialGale PuevisExecutive Director · (252) 237-4778
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1346370160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL-098-079
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1300 GOLD ST N, Wilson, NC 27893

Other Identifiers 1

Medicaid7804566NC

Other Providers at the Same Location NPPES

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

Custodial Care Facility (Adult Care Home)
1300 GOLD ST N
WILSON, NC 27893

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 Wilson County Residential Services, Inc's NPI number?

The NPI number for Wilson County Residential Services, Inc is 1346370160. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Wilson County Residential Services, Inc located?

Wilson County Residential Services, Inc is located at 1300 Gold St N, Wilson, NC 27893. The listed phone number is (252) 237-4778.

What is Wilson County Residential Services, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Wilson County Residential Services, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.