Coastal Residential Services, Inc
NPI 1780792705 · Community/Behavioral Health Agency · Jacksonville, NC
Coastal Residential Services, Inc is a Community/Behavioral Health Agency organization in Jacksonville, NC (NPI 1780792705).
Provider details
- NPI number
- 1780792705
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carol Wilson, Vice President(910) 938-9550
- License
- MHL-067-091 (NC)
Specialties & taxonomies
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense MHL-067-091 (NC)
Residential Treatment Facilities
Agencies
Agencies
Agencies
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Frequently asked questions
- What is Coastal Residential Services, Inc's NPI number?
- Coastal Residential Services, Inc's National Provider Identifier (NPI) is 1780792705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Residential Services, Inc?
- Coastal Residential Services, Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Coastal Residential Services, Inc located?
- Coastal Residential Services, Inc's practice location on file with NPPES is 445 Western Blvd Ste T, Jacksonville, NC 28546-6852.
- What is Coastal Residential Services, Inc's phone number?
- The practice phone number listed in the NPPES registry for Coastal Residential Services, Inc is (910) 938-9550.
- Who is the authorized official for Coastal Residential Services, Inc?
- The authorized official listed on Coastal Residential Services, Inc's NPPES record is Carol Wilson, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Residential Services, Inc's NPI active?
- Yes — Coastal Residential Services, Inc's NPI (1780792705) is active in the NPPES registry as of the last update on 2020-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.