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PENTECOSTAL TEMPLE RESIDENTIAL SERVICES, INC.
NPI 1902999568
Residential Treatment Facility, Emotionally Disturbed Children in Greenville, NC

Active since October 02, 2006
2753 W 5TH ST, GREENVILLE, NC 27834(252) 752-0057(252) 830-4094 Get Directions Write a Review

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

About Pentecostal Temple Residential Services, Inc. NPPES

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

PENTECOSTAL TEMPLE RESIDENTIAL SERVICES, INC. (NPI 1902999568) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Greenville, North Carolina and active in the NPI registry since October 2006. The organization lists Christina Sims-smith, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1902999568
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePENTECOSTAL TEMPLE RESIDENTIAL SERVICES, INC.
Location Address2753 W 5TH STGreenville, NC 27834-7817
Mailing AddressPo Box 983Greenville, NC 27835-0983 · (252) 752-0057 · Fax (252) 830-4094
Phone(252) 752-0057
Fax(252) 830-4094
Organization SubpartNo
Authorized OfficialChristina Sims-smithClinical Director · (252) 752-6951
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902999568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL-115
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2753 W 5TH ST, Greenville, NC 27834
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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 Pentecostal Temple Residential Services, Inc.'s NPI number?

The NPI number for Pentecostal Temple Residential Services, Inc. is 1902999568. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Pentecostal Temple Residential Services, Inc. located?

Pentecostal Temple Residential Services, Inc. is located at 2753 W 5th St, Greenville, NC 27834. The listed phone number is (252) 752-0057.

What is Pentecostal Temple Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

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