OrganizationActive
Carolina Residential Services, Inc.
NPI 1427180975 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Boonville, NC
Provider details
- NPI number
- 1427180975
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Susan Kincaid, Director(828) 572-2333
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense MHL 099015 (NC)
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Practice location
130 Williams St
Boonville, NC 27011-9300
Phone: (336) 367-9039
Fax: (336) 367-9039
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 286
Rutherford College, NC 28671-0286
Registry dates
- Enumerated
- 2007-03-11
- Last updated
- 2013-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.