SURRY-YADKIN RESIDENTIAL SERVICES, INC
NPI 1861745069
Intermediate Care Facility, Intellectual Disabilities in Mount Airy, NC

Q: What is Surry-Yadkin Residential Services, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since October 25, 2012

1305 PARK DR, MOUNT AIRY, NC 27030(336) 789-6697 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Surry-yadkin Residential Services, Inc NPPES

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

SURRY-YADKIN RESIDENTIAL SERVICES, INC (NPI 1861745069) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mount Airy, North Carolina and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Mount Airy and lists Joshua Denny, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861745069

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSURRY-YADKIN RESIDENTIAL SERVICES, INC

Location Address1305 PARK DRMount Airy, NC 27030

Mailing Address401 S Main St, Suite 100Mount Airy, NC 27030-4700 · (336) 719-0062 · Fax (336) 719-0064

Phone(336) 789-6697

Organization SubpartNo

Authorized OfficialJoshua DennyExecutive Director · (336) 719-0062

Enumeration DateOctober 25, 2012

Last NPPES UpdateJune 13, 2018

✔ NPI 1861745069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in NC · MHL-086-020

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1305 PARK DR, Mount Airy, NC 27030

Open in Google Maps ↗

Secondary Practice Location 1

Location 1401 S Main St, Suite 100Mount Airy, NC 27030-4700 · Phone (336) 719-0062 ext. 202 · Fax (336) 719-0064

Other Identifiers 1

Medicaid340609BNC

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 Surry-Yadkin Residential Services, Inc's NPI number?

The NPI number for Surry-Yadkin Residential Services, Inc is 1861745069. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Surry-Yadkin Residential Services, Inc located?

Surry-Yadkin Residential Services, Inc is located at 1305 Park Dr, Mount Airy, NC 27030. The listed phone number is (336) 789-6697.

What is Surry-Yadkin Residential Services, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Surry-Yadkin Residential Services, Inc was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.