WILSON COUNT RESIDENTIAL SERVICES, INC
NPI 1972633014
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilson, NC

Active since March 07, 2007
1502 PINEVIEW AVE NW, WILSON, NC 27896(252) 237-4778(252) 206-1681 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Count Residential Services, Inc NPPES

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

WILSON COUNT RESIDENTIAL SERVICES, INC (NPI 1972633014) 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 March 2007. The organization lists Gale Purvis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972633014
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWILSON COUNT RESIDENTIAL SERVICES, INC
Location Address1502 PINEVIEW AVE NWWilson, NC 27896-2041
Mailing Address115 B West Hines StWilson, NC 27893-3924 · (252) 237-4778 · Fax (252) 206-1681
Fax(252) 206-1681
Organization SubpartNo
Authorized OfficialGale PurvisExecutive Director · (252) 237-4778
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1972633014 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-098-078
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.
1502 PINEVIEW AVE NW, Wilson, NC 27896

Other Identifiers 1

Medicaid7804390NC

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)
1502 PINEVIEW AVE NW
WILSON, NC 27896

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 Count Residential Services, Inc's NPI number?

The NPI number for Wilson Count Residential Services, Inc is 1972633014. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Wilson Count Residential Services, Inc located?

Wilson Count Residential Services, Inc is located at 1502 Pineview Ave NW, Wilson, NC 27896. The listed phone number is (252) 237-4778.

What is Wilson Count 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 Count 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.