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Carolina Residential Services, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Boonville, North Carolina
NPI 1427180975

Carolina Residential Services, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rutherford College, NC. Carolina Residential Services, Inc. practices in Boonville, NC. The NPI Number for Carolina Residential Services, Inc. is 1427180975 and holds a License No. (North Carolina).

The current practice location address for Carolina Residential Services, Inc. is 130 Williams St, Boonville, NC and can be reached out via phone at 336-367-9039 and via fax at 336-367-9039.

Location: 130 Williams St, Boonville, NC, 28671-0286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427180975
Provider Name
Carolina Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
130 Williams St, Boonville, NC, 28671-0286
Phone Number
336-367-9039
Fax Number
336-367-9039
Provider Enumeration Date
03/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7806585 05 NC
7805080 05 NC
institution
Provider Business Practice Location Address Details
Address
130 Williams St
City
Boonville
State
North Carolina
Zip
27011-9300
Phone Number
336-367-9039
Fax Number
336-367-9039
person
Provider Business Mailing Address Details
Address
130 Williams St
City
Boonville
State
North Carolina
Zip
27011-9300
Phone Number
336-367-9039
Fax Number
336-367-9039
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL 099015 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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