WILSON COUNTY RESIDENTIAL SERVICES, INC
NPI 1750453098
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilson, NC

Active since November 14, 2006
308 BRAGG ST NE, GROUP HOME#1, WILSON, NC 27893(252) 243-3022(252) 206-1681 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1750453098) 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 November 2006. The organization lists Gale Purvis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750453098
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWILSON COUNTY RESIDENTIAL SERVICES, INC
Location Address308 BRAGG ST NE, GROUP HOME#1Wilson, NC 27893-3202
Mailing Address115 Hines St W, Unite BWilson, NC 27893-3924 · (252) 237-4778 · Fax (252) 206-1681
Fax(252) 206-1681
Organization SubpartNo
Authorized OfficialGale PurvisExecutive Director · (252) 237-4778
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1750453098 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-098-080
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.
308 BRAGG ST NE, Wilson, NC 27893

Other Identifiers 1

Medicaid7804388NC

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)
308 BRAGG ST NE
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 1750453098. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Wilson County Residential Services, Inc located?

Wilson County Residential Services, Inc is located at 308 Bragg St NE Group Home#1, Wilson, NC 27893. The listed phone number is (252) 243-3022.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.