Carolina Prime Residential LLC
NPI 1215545348 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eden, NC
Carolina Prime Residential LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Eden, NC (NPI 1215545348).
Provider details
- NPI number
- 1215545348
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mikisha Simms, Director(301) 717-2040
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-15
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Frequently asked questions
- What is Carolina Prime Residential LLC's NPI number?
- Carolina Prime Residential LLC's National Provider Identifier (NPI) is 1215545348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Prime Residential LLC?
- Carolina Prime Residential LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Carolina Prime Residential LLC located?
- Carolina Prime Residential LLC's practice location on file with NPPES is 315 Maple St, Eden, NC 27288-5513.
- What is Carolina Prime Residential LLC's phone number?
- The practice phone number listed in the NPPES registry for Carolina Prime Residential LLC is (336) 623-1020.
- Who is the authorized official for Carolina Prime Residential LLC?
- The authorized official listed on Carolina Prime Residential LLC's NPPES record is Mikisha Simms, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Prime Residential LLC's NPI active?
- Yes — Carolina Prime Residential LLC's NPI (1215545348) is active in the NPPES registry as of the last update on 2024-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.