OrganizationActive
Carolina Residential Services
NPI 1427181403 · Mental Illness Community Based Residential Treatment Facility · Ahoskie, NC
Provider details
- NPI number
- 1427181403
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Derek Wilson, Director of Operations(919) 662-7873
- License
- MHL 08028 (NC)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MHL 08028 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
US Highway 13 N
Ahoskie, NC 27910-9267
Phone: (252) 794-1859
Fax: (252) 794-1859
Approximate (ZIP-level) locationGet directions
Mailing address
1202 Benson Rd
Garner, NC 27529-4648
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.