ETTA'S RESIDENTIAL SERVICES AND SUPPORTS, INC.
NPI 1932371135
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Raleigh, NC

Active since March 27, 2008
4833 TOLLEY CT, RALEIGH, NC 27616(919) 599-1636(919) 720-4818 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etta's Residential Services And Supports, Inc. NPPES

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

ETTA'S RESIDENTIAL SERVICES AND SUPPORTS, INC. (NPI 1932371135) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Raleigh, North Carolina and active in the NPI registry since March 2008. The organization lists Leon C Rogers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932371135
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameETTA'S RESIDENTIAL SERVICES AND SUPPORTS, INC.
Location Address4833 TOLLEY CTRaleigh, NC 27616-7827
Mailing Address4833 Tolley CtRaleigh, NC 27616-7827 · (919) 599-1636 · Fax (919) 720-4818
Fax(919) 720-4818
Organization SubpartNo
Authorized OfficialLeon C RogersCeo · (919) 599-1636
Enumeration DateMarch 27, 2008
NPI 1932371135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NC · MHL-092-705
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4833 TOLLEY CT, Raleigh, NC 27616

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
4833 TOLLEY CT
RALEIGH, NC 27616

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 Etta's Residential Services And Supports, Inc.'s NPI number?

The NPI number for Etta's Residential Services And Supports, Inc. is 1932371135. It was assigned to this organization in the NPPES registry on March 27, 2008.

Where is Etta's Residential Services And Supports, Inc. located?

Etta's Residential Services And Supports, Inc. is located at 4833 Tolley Ct, Raleigh, NC 27616. The listed phone number is (919) 599-1636.

What is Etta's Residential Services And Supports, 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 Etta's Residential Services And Supports, Inc. was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.