CAROLINA RESIDENTIAL SERVICES, INC.
NPI 1770705956
Community Based Residential Treatment Facility, Mental Illness in Wallace, NC
NPI Status: Active since May 03, 2007
Contact Information
314 EAST WESTBROOK STREET
WALLACE, NC
ZIP 28466
Phone: (910) 285-5319
Fax: (910) 285-5438
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 34D2299936
- CLIA Cert. Type: Other - URGRNT CARE
- CLIA Exp. Date: 02-27-2026
About CAROLINA RESIDENTIAL SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Carolina Residential Services, Inc., a provider established in Wallace, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1770705956 assigned on May 2007. The practitioner's primary taxonomy code is 320800000X with license number MHL 031063 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Susan M Kincaid (Director)
- NPI
- 1770705956
- Provider Name
- CAROLINA RESIDENTIAL SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 314 EAST WESTBROOK STREET WALLACE, NC 28466
- Location Phone
- (910) 285-5319
- Location Fax
- (910) 285-5438
- Mailing Address
- PO BOX 286 RUTHERFORD COLLEGE, NC 28671
- Mailing Phone
- (828) 572-2333
- Mailing Fax
- (910) 285-5438
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-03-2007
- Last Update Date
- 06-12-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- MHL 031063
- License State
- NC
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7806594 | MEDICAID (05) | NC | |
| 7805778 | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2299936
- Facility Type
- Other - URGRNT CARE
- Certificate Effective Date
- February 29, 2024
- Certificate Expiration Date
- February 27, 2026
- Laboratory Director
- MEGAN GIBBONS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carolina Residential Services, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770705956, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WALLACE, NC 28466
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770705956, enumerated as an "organization" on May 03, 2007.
The provider is located at 314 EAST WESTBROOK STREET WALLACE, NC 28466 and the phone number is (910) 285-5319.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
