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CAROLINA RESIDENTIAL SERVICES, INC
NPI 1588707236
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, NC

Active since February 14, 2007
324 PINE VALLEY RD, JACKSONVILLE, NC 28546(910) 353-1415(910) 353-1415 Get Directions Write a Review

NPPES record last updated: July 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 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 1588707236) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, North Carolina and active in the NPI registry since February 2007. The organization lists Susan M Kincaid, Director, as its authorized official.

NPPES Registry Identity

NPI1588707236
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCAROLINA RESIDENTIAL SERVICES, INC
Location Address324 PINE VALLEY RDJacksonville, NC 28546-7784
Mailing AddressPo Box 286Rutherford College, NC 28671-0286 · (828) 572-2333 · Fax (980) 225-0500
Phone(910) 353-1415
Fax(910) 353-1415
Organization SubpartNo
Authorized OfficialSusan M KincaidDirector · (828) 572-2333
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 20, 2013
✔ NPI 1588707236 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-067-102
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
324 PINE VALLEY RD, Jacksonville, NC 28546
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Other Identifiers 2

Medicaid7804291NC
Medicaid7806596NC

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 1588707236. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Carolina Residential Services, Inc located?

Carolina Residential Services, Inc is located at 324 Pine Valley Rd, Jacksonville, NC 28546. The listed phone number is (910) 353-1415.

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.